McSwain Medical of Auburn PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006151 Issued in NY

Legal business name

MCSWAIN MEDICAL OF AUBURN PLLC

Practice address

37 W Garden St
Suite 105
Auburn, NY 13021-2662

Phone

(315) 252-0000

Fax

(315) 252-0070

NPI assigned

Mar 14, 2013

Last updated

Oct 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark McSwain, M.D.

Title

Medical Director

Phone

(315) 730-7448

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Margaret Ederer, B.A.,M.A., P.A.-C

  • Medical Physician Assistant
  • Syracuse, NY
  • NPI 1326020033
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1710228838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JORDAN ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521113",
            "telephone_number": "315-391-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-252-0000",
            "fax_number": "315-252-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCSWAIN MEDICAL OF AUBURN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "315-730-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "201382-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane McMahon-Gilly, RN
• Jeanette McNabb, OT
• Ashley McNally
• Melanie Lynn McNally, M.D.
• Erynn Frances McNerney, FNP-C
• Mark W McSwain, M.D.
• Emily Mead, RN
• Jodi Mekeel
• Karli Mele
• Felicie Louise Meling, LCSW-R

• Physician Assistant in Auburn, NY
• Providers in Auburn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.