Organization Active NPI

Otsego Medical Services PC

  • Family Medicine Physician
  • Oneonta, NY
National Provider Identifier
1699748624
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OTSEGO MEDICAL SERVICES PC
Practice address
6 Country Club Road
Oneonta, NY 13820
Phone
(607) 431-2525
Fax
(607) 432-1110
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric A Dohner, MD
Title
Owner
Phone
(607) 431-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6 Country Club Road
Oneonta, NY 13820

Mailing address

6 Country Club Road
Oneonta, NY 13820
Phone (607) 431-2525

Other identifiers 1

IdentifierTypeStateIssuer
01515616MedicaidNY

National Provider Directory

National Provider Directory

Locations

41861 State Highway 10
Delhi, NY 13753
Phone (607) 464-4444

10 Eaton St
Fl 3
Hamilton, NY 13346
Phone (315) 825-9038

6 Country Club Rd
Oneonta, NY 13820
Phone (607) 431-2525

6 Franklin Rd
Walton, NY 13856
Phone (607) 865-5800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1699748624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COUNTRY CLUB ROAD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "13820",
            "telephone_number": "607-431-2525",
            "fax_number": "607-432-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COUNTRY CLUB ROAD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "13820",
            "telephone_number": "607-431-2525",
            "fax_number": "607-432-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "DOHNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-431-2525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01515616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.