Active NPI
North Country Family Physicians
- Pediatrics Physician
- Saranac Lake, NY
National Provider Identifier
1730115916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORTH COUNTRY FAMILY PHYSICIANS
- Practice address
- 309 County Route 47
Suite 1
Saranac Lake, NY 12983-5405 - Phone
- (518) 891-2688
- Fax
- (518) 891-4120
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa Jane Fraser
- Title
- Office Manager
- Phone
- (518) 891-2688
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
309 County Route 47
Suite 1
Saranac Lake, NY 12983-5405
Mailing address
309 County Route 47
Suite 1
Saranac Lake, NY 12983-5405
Phone (518) 891-2688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00458080 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
5 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-9957
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": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1730115916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 COUNTY ROUTE 47",
"address_2": "SUITE 1",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835405",
"telephone_number": "518-891-2688",
"fax_number": "518-891-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 COUNTY ROUTE 47",
"address_2": "SUITE 1",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835405",
"telephone_number": "518-891-2688",
"fax_number": "518-891-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTRY FAMILY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FRASER",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "518-891-2688",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00458080",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.