North Country Adult Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH COUNTRY ADULT MEDICINE PLLC

Practice address

38 Hospital Dr
Massena, NY 13662-1018

Phone

(315) 764-1121

Fax

(315) 764-1972

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Ellen M Thomson

Title

Billing Specialist

Phone

(315) 764-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Joanne Wilson Cichetti, MD

  • Internal Medicine Physician
  • Massena, NY
  • NPI 1578578977
  Medicare reassignment Care Compare group NPD
• Neil Joseph Cichetti, MD

  • Internal Medicine Physician
  • Massena, NY
  • NPI 1588679989
  Medicare reassignment Care Compare group NPD
• Laura Marie Goldhar, PA

  • Physician Assistant
  • Massena, NY
  • NPI 1295305720
  Medicare reassignment Care Compare group
• Camryn Peets, PA-C

  • Physician Assistant
  • Massena, NY
  • NPI 1184460131
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1710052451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621018",
            "telephone_number": "315-764-1121",
            "fax_number": "315-764-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621018",
            "telephone_number": "315-764-1121",
            "fax_number": "315-764-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY ADULT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "315-764-1121"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joan Morgan, RD
• Megan Ann Marie Moulton, PHARMD
• Brittany E Murphy, RN
• Betty M Nightingale
• Michelle L Niles
• Emmanuel Uzoma Nwogu, D.O
• Molly Renee O'Connell, OTR/L
• William Anthony Orlando, D.C.
• Lucy Leigh Oshier
• Sheri L Page, RN

• Internal Medicine Physician in Massena, NY
• Providers in Massena, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.