NPIMap

Organization Active NPI

Family Health Medical Services Jamestown Convenience Care

  • Family Medicine Physician
  • Jamestown, NY
National Provider Identifier
1801104583
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTH MEDICAL SERVICES JAMESTOWN CONVENIENCE CARE
Practice address
320 Prather Avenue
Suite 200
Jamestown, NY 14701-6920
Phone
(716) 753-7107
Fax
(716) 753-5367
NPI assigned
Sep 16, 2010
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH MEDICAL SERVICES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Robert Berke, MDNPI 1720057599
Title
Managing Partner
Phone
(716) 753-5315

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 Physician 207Q00000X NU Primary

Addresses

Primary practice location

320 Prather Avenue
Suite 200
Jamestown, NY 14701-6920

Mailing address

PO Box 168
95 E Chautauqua St
Mayville, NY 14757-0168
Phone (716) 753-7107

Other names 1

  • Jamestown Convenience Care Other name

National Provider Directory

National Provider Directory
Part of
Family Health Medical Services PLLC

Locations

320 Prather Ave
Ste 200
Jamestown, NY 14701
Phone (716) 338-9797

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1801104583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "address_2": "95 E CHAUTAUQUA ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVENUE",
            "address_2": "SUITE 200",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016920",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH MEDICAL SERVICES JAMESTOWN CONVENIENCE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH MEDICAL SERVICES, PLLC",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BERKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "716-753-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestown Convenience Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.