Individual provider Active NPI

John Nolan, FP

  • Medical Physician Assistant
  • Oneonta, NY
National Provider Identifier
1952351215
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010983 Issued in NY
Practice address
1 Fox Care Dr
308
Oneonta, NY 13820-2086
Phone
(607) 432-1163
Fax
(607) 431-5367
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010983 NY Primary

Addresses

Primary practice location

1 Fox Care Dr
308
Oneonta, NY 13820-2086

Mailing address

1 Fox Care Dr
308
Oneonta, NY 13820-2086
Phone (607) 432-1163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010983NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Family Medical Center LLC Past Accepting new patients
Island Medical Empire State, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jnolan31692@bassett.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1952351215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOX CARE DR",
            "address_2": "308",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202086",
            "telephone_number": "607-432-1163",
            "fax_number": "607-431-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOX CARE DR",
            "address_2": "308",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202086",
            "telephone_number": "607-432-1163",
            "fax_number": "607-431-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.