NPIMap

Organization Active NPI

Gananda Family Practice

  • Primary Care Clinic/Center
  • Macedon, NY
National Provider Identifier
1740348192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
214314 Issued in NY
Legal business name
GANANDA FAMILY PRACTICE
Practice address
1200 Fairway 7
Macedon, NY 14502-9392
Phone
(585) 922-4410
Fax
(315) 986-4888
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Coan, MD
Title
Private Practice
Phone
(315) 986-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 214314 NY Primary

Addresses

Primary practice location

1200 Fairway 7
Macedon, NY 14502-9392

Mailing address

1200 Fairway 7
Macedon, NY 14502-9392
Phone (585) 922-4410

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740348192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FAIRWAY 7",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029392",
            "telephone_number": "585-922-4410",
            "fax_number": "315-986-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FAIRWAY 7",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029392",
            "telephone_number": "585-922-4410",
            "fax_number": "315-986-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANANDA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRIVATE PRACTICE",
        "authorized_official_telephone_number": "315-986-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "214314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.