Ogdensburg Medical Group P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

108852 Issued in NY

Legal business name

OGDENSBURG MEDICAL GROUP P.C.

Practice address

1231 Congress St
Ogdensburg, NY 13669-3268

Phone

(315) 393-2295

Fax

(315) 393-9604

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Frederico A Loinaz, M.D.

Title

President

Phone

(315) 393-2295

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Banzi L. Bazaz, M.D.

  • Internal Medicine Physician
  • Ogdensburg, NY
  • NPI 1780681056
  NPD
• Mark Murad Chalom, M.D.

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1538189287
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871590745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "address_2": "1231 CONGRESS ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-393-2295",
            "fax_number": "315-393-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CONGRESS ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693268",
            "telephone_number": "315-393-2295",
            "fax_number": "315-393-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGDENSBURG MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOINAZ",
        "authorized_official_first_name": "FREDERICO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-393-2295",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "108852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00463823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogdensburg City School District
• Ogdensburg City School District
• Ogdensburg City Schools
• Ogdensburg Dental Clinic
• Ogdensburg Family Practice LLC
• Ogdensburg Volunteer Rescue Squad, Inc.
• Ohio Valley Pulmonary Services Inc
• Sara Olin, LMSW
• William C Oneill
• Kome S Oseghale, MD

• Internal Medicine Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Internal Medicine Physician in New York

• 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.