Finger Lakes Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FINGER LAKES MEDICAL GROUP

Practice address

200 North St
Suite 101
Geneva, NY 14456-1561

Phone

(315) 787-5100

Fax

(315) 787-5108

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

Mark Ryan, M.D.

Title

Managing Partner

Phone

(315) 787-5199

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Finger Lakes Medical Associates, LLP Doing business as

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1730254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "SUITE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "SUITE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "315-787-5199",
        "authorized_official_credential": "M.D."
    },
    "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": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finger Lakes Medical Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Finger Lakes Gastroenterology
• Finger Lakes Hearing Center Inc
• Finger Lakes Hearing Center Inc
• Finger Lakes Home Care, Inc.
• Finger Lakes Medical Equipment
• Finger Lakes Migrant Health Care Project
• Finger Lakes Migrant Health Care Project, Inc
• Finger Lakes Physiatry and Integrative Health Care, PLLC
• Finger Lakes Physical Therapy & Sports Care, P.L.L.C.
• Finger Lakes Podiatry of Geneva, PLLC

• Internal Medicine Physician in Geneva, NY
• Providers in Geneva, 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 Feb 26, 2015; 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.