Organization Active NPI

Integrative Family Care at the Springs PLLC

  • Family Medicine Physician
  • Pittsford, NY
National Provider Identifier
1841594447
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214314 Issued in NY
Legal business name
INTEGRATIVE FAMILY CARE AT THE SPRINGS PLLC
Practice address
115 Sullys TRL Ste 4
Pittsford, NY 14534-4571
Phone
(315) 462-3553
Fax
(315) 462-3104
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mary L CoanNPI 1275560369
Title
Authorized Official
Phone
(315) 462-3553

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 214314 NY Primary

Addresses

Primary practice location

115 Sullys TRL Ste 4
Pittsford, NY 14534-4571

Mailing address

115 Sullys TRL Ste 4
Pittsford, NY 14534-4571
Phone (315) 462-3553

Other names 1

  • Mary Coan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110707000617 NY Part B Supplier - Clinic/Group Practice 7416135801 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Locations

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

115 Sullys Trl
Pittsford, NY 14534

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCGAA

Practitioners & affiliated clinicians

Practitioners 3

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": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1841594447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL STE 4",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571",
            "telephone_number": "315-462-3553",
            "fax_number": "315-462-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL STE 4",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571",
            "telephone_number": "315-462-3553",
            "fax_number": "315-462-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY CARE AT THE SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "COAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "315-462-3553"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Coan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.