Endwell Family Physicians LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ENDWELL FAMILY PHYSICIANS LLP

Practice address

415 Hooper Rd
Endwell, NY 13760-3698

Phone

(607) 754-3863

Fax

(607) 754-5697

NPI assigned

Jul 19, 2006

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan A Harris, MDNPI 1376563551

Title

Partner

Phone

(607) 754-3863

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 27

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.

• Jonathan A Harris, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1376563551
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie Belknap, FNP

  • Family Nurse Practitioner
  • Endwell, NY
  • NPI 1508096181
  Medicare reassignment Care Compare group NPD
• Gloria J Block, FNP

  • Nurse Practitioner
  • Endwell, NY
  • NPI 1528093978
  Medicare reassignment Care Compare group NPD
• Bruce T Bowling, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1407881832
  Medicare reassignment Care Compare group NPD
• Caitlyn E Burford, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1952695868
  Medicare reassignment Care Compare group NPD
• Matthew Demtrak, NP

  • Nurse Practitioner
  • Endwell, NY
  • NPI 1396260352
  Medicare reassignment Care Compare group NPD
• Kimberly M Desantis, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1376578724
  Medicare reassignment Care Compare group NPD
• Michael Todd Federico, DO

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1740574383
  Medicare reassignment Care Compare group NPD
• Trichelle Feheley, FNP

  • Nurse Practitioner
  • Endwell, NY
  • NPI 1518275023
  Medicare reassignment Care Compare group NPD
• Lazarus B Gehring, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1629001722
  Medicare reassignment Care Compare group NPD
• James C Holler, MD

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1295755478
  Medicare reassignment Care Compare group NPD
• Elizabeth Labarre, NP

  • Family Nurse Practitioner
  • Vestal, NY
  • NPI 1356122725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1871512947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603698",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603698",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDWELL FAMILY PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "607-754-3863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00557575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Donatelli III
• Donson Transportation Services, Inc
• Eckerd Corporation (Rite Aid Pharmacy 10790)
• Victor A Elinoff, MD
• Endwell Associates of Mental Health
• Endwell Physical Therapy, PLLC
• Family Audiology, PLLC
• Michael Todd Federico, DO
• Cheryl Diane Fedich, AS, BS. CASE MGR.
• Trichelle Feheley, FNP

• Family Medicine Physician in Endwell, NY
• Providers in Endwell, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.