Michael L. Pryce, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

280178 Issued in NY

Practice address

1104 Commons Ave
Cortland, NY 13045-1643

Phone

(607) 758-3750

Fax

(607) 758-3754

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mid American Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Defiance, OH
  • NPI 1073553582
  NPD (past)
• Mid American Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Dover, OH
  • NPI 1174563670
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1972501682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-758-8019",
            "fax_number": "607-758-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COMMONS AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451643",
            "telephone_number": "607-758-3750",
            "fax_number": "607-758-3754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Currie Hall Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442404387",
            "country_code": "US",
            "telephone_number": "330-673-5519",
            "fax_number": "330-673-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYCE",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-04-2582-P",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "280178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04236155",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "34-1522369",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP. #",
            "identifier": "34152236900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0548401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne M Prezioso, R.N.
• Diane Price, LPN
• Sarah Elizabeth Prignon
• Primary Physical Therapy PLLC
• Vincent Primiano, LMSW
• Karen S Puccia, RN
• Joseph Pullman, LCSW-R
• Rachel Putnam, MD
• Shahida Qazi, DDS, FAGD
• Melissa A Quick, CASAC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.