Organization Active NPI

North Country Health Care, Medical PLLC

  • Family Medicine Physician
  • Malone, NY
National Provider Identifier
1699876482
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH COUNTRY HEALTH CARE, MEDICAL PLLC
Practice address
24 4TH St
Malone, NY 12953-1350
Phone
(518) 481-6044
Fax
(518) 481-6043
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Mr. Vladimr Medved, D.O.
Title
Medical Doctor
Phone
(518) 481-6044

Specialties & licenses 1

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

Addresses

Primary practice location

24 4TH St
Malone, NY 12953-1350

Mailing address

24 4TH St
Malone, NY 12953-1350
Phone (518) 481-6044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1699876482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 4TH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531350",
            "telephone_number": "518-481-6044",
            "fax_number": "518-481-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 4TH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531350",
            "telephone_number": "518-481-6044",
            "fax_number": "518-481-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HEALTH CARE, MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "MEDVED",
        "authorized_official_first_name": "VLADIMR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "518-481-6044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.