NY PRIMARY CARE PRACTICE PC (NPI# 1104276252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104276252 |
| Entity Type | Organization |
| Organization Name | NY PRIMARY CARE PRACTICE PC |
| Other Organization Name | FIVE STAR FAMILY CARE |
| Practice Address |
7375 Oswego Rd Suite 2 Liverpool NY 13090-3717 |
| Mailing Address |
Po Box 248 Ellicottville NY 14731-0248 |
| Practice Telephone | 7166999032 |
| Practice Fax Number | 7166999035 |
| Mailing Telephone | 7166999032 |
| Mailing Fax Number | 7166999035 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | DR. JOHN C RADFORD (OWNER) |
| Authorized Official Telephone | 7166999032 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 215230 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Five Star Family Care | Other Name - Individual/Organization |
| Street Address |
7375 OSWEGO RD SUITE 2 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073522587 | Brenda R Van Fossen | Pediatrics | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2006-08-05 |
| 1679191787 | Anna Elizabeth Salvagno | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2020-07-07 |
| 1669013439 | Stephanie Rech | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2019-10-03 |
| 1538722608 | Margaret M Monnat | Physician Assistant | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2019-04-15 |
| 1558846006 | Kyle Kowalewski | Physician Assistant | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2018-10-01 |
| 1710473715 | Julie Rynee' Cayea | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2018-07-03 |
| 1740775873 | Alexandra Cobb | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2018-07-01 |
| 1669825162 | Wellnow Urgent Care, PC | Clinic/Center | 7375 Oswego Rd, Suite1, Liverpool, NY 13090-3717 | 2016-07-20 |
| 1568816809 | Liverpool Family Care Medicine, Pllc | Emergency Medicine | 7375 Oswego Rd, Suite 2, Liverpool, NY 13090-3717 | 2016-04-22 |
| 1720445067 | Wellnow Urgent Care, PC | Clinic/Center | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2016-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546049 | Britnee Nichole Williams | Family Medicine | 1 Galbraith Ct, Liverpool, NY 13090-3904 | 2019-06-11 |
| 1023186061 | Brian Keith Smith | Family Medicine | 8324 Oswego Rd, Ste D, Liverpool, NY 13090-1086 | 2006-11-30 |
| 1164597498 | Lauri Ann Fairbanks Doane | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-21 |
| 1528000668 | Nancy C Blake | Family Medicine | 7523 Morgan Rd, Village Medical of Cny, Liverpool, NY 13090-3538 | 2006-06-12 |
| 1124008263 | Christian L Holcomb | Family Medicine | 8134a Oswego Rd, Liverpool, NY 13090 | 2006-01-17 |
| 1174974216 | Jenna Marie Laskey | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2016-06-30 |
| 1629324843 | Sylvia Lee | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2012-07-25 |
| 1174802540 | Christian L Holcomb Md, PC | Family Medicine | 8134 Oswego Rd, Suite A, Liverpool, NY 13090-1500 | 2011-08-16 |
| 1215215421 | Wei-yu Chou | Family Medicine | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2011-07-22 |
| 1700177417 | Scott Allan | Family Medicine | 5100 West Taft Road., Suite 1c, Liverpool, NY 13088 | 2011-04-28 |
| Find all providers in LIVERPOOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.