NPIMap

Organization Active NPI

Delphi Emergency Physician Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wellsville, NY
National Provider Identifier
1700829074
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
DELPHI EMERGENCY PHYSICIAN SERVICES
Practice address
191 N Main St
Wellsville, NY 14895-1150
Phone
(585) 247-9040
Fax
(585) 697-0221
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Diane Davis, RN, BSN.
Title
Billing/Coding Manager
Phone
(585) 690-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

191 N Main St
Wellsville, NY 14895-1150

Mailing address

1160 Chili Avenue Ste. 200
Rochester, NY 14624-3035
Phone (585) 247-9040

Other identifiers 3

IdentifierTypeStateIssuer
DE8587OtherRAILRAOD
02783035MedicaidNY
GRP005133531OtherNYBCBS

National Provider Directory

National Provider Directory

Locations

1160 Chili Ave
Ste 200
Rochester, NY 14624
Phone (585) 235-1514

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1700829074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CHILI AVENUE STE. 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243035",
            "telephone_number": "585-247-9040",
            "fax_number": "585-697-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-247-9040",
            "fax_number": "585-697-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELPHI EMERGENCY PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING/CODING MANAGER",
        "authorized_official_telephone_number": "585-690-8862",
        "authorized_official_credential": "RN, BSN."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD",
            "identifier": "DE8587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783035",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GRP005133531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.