Organization Active NPI

David McCall MD PC

  • Family Medicine Physician
  • Potsdam, NY
National Provider Identifier
1700910858
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205755 Issued in NY
Legal business name
DAVID MCCALL MD PC
Practice address
6604 State Highway 56
Suite 13
Potsdam, NY 13676-3545
Phone
(315) 261-4191
Fax
(315) 261-4516
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. David S McCall, MD
Title
Owner
Phone
(315) 261-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 205755 NY Primary

Addresses

Primary practice location

6604 State Highway 56
Suite 13
Potsdam, NY 13676-3545

Mailing address

6604 State Highway 56
Suite 13
Potsdam, NY 13676-3545
Phone (315) 261-4191

Other identifiers 1

IdentifierTypeStateIssuer
01749453MedicaidNY

National Provider Directory

National Provider Directory

Locations

154 Main St
Massena, NY 13662
Phone (315) 769-6585

6604 State Highway 56
Ste 13
Potsdam, NY 13676
Phone (315) 261-4191

Practitioners & affiliated clinicians

Practitioners 1

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1700910858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 STATE HIGHWAY 56",
            "address_2": "SUITE 13",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763545",
            "telephone_number": "315-261-4191",
            "fax_number": "315-261-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 STATE HIGHWAY 56",
            "address_2": "SUITE 13",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763545",
            "telephone_number": "315-261-4191",
            "fax_number": "315-261-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MCCALL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-261-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.