Organization Active NPI

Cayuga Family Medicine PC

  • Family Medicine Physician
  • Ithaca, NY
National Provider Identifier
1750308474
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAYUGA FAMILY MEDICINE PC
Practice address
302 W Seneca St
Ithaca, NY 14850-4130
Phone
(607) 697-0360
Fax
(607) 272-0240
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. James Loehr, MDNPI 1205853926
Title
Owner President
Phone
(607) 697-0360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

302 W Seneca St
Ithaca, NY 14850-4130

Mailing address

302 W Seneca St
Ithaca, NY 14850-4130
Phone (607) 697-0360

Other identifiers 1

IdentifierTypeStateIssuer
02053863MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000047 NY Part B Supplier - Clinic/Group Practice 1850321464 Receives reassigned benefits from 9 practitioners
Practice locations: Ithaca, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0174486Cayuga Family Medicine PC302 West Seneca Street, Ithaca, NY 14850Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1750308474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504130",
            "telephone_number": "607-697-0360",
            "fax_number": "607-272-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504130",
            "telephone_number": "607-697-0360",
            "fax_number": "607-272-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "LOEHR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "607-697-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.