CARLOS DATOR JR., M.D., P.C. (NPI# 1508229659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508229659 |
| Entity Type | Organization |
| Organization Name | CARLOS DATOR JR., M.D., P.C. |
| Practice Address |
177 W 4th St Oswego NY 13126-3009 |
| Practice Telephone | 3153432151 |
| Mailing Telephone | 3153432151 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | DR. CARLOS O DATOR JR. (PRESIDENT) |
| Authorized Official Telephone | 3153432151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
281672 | NY | Ambulatory Health Care Facilities |
| Street Address |
177 W 4TH ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267291 | Carmen S Bautista Dator | Internal Medicine | 177 W 4th St, Oswego, NY 13126-3009 | 2006-07-16 |
| 1912066242 | Carmen Bautista-dator Md PC | Internal Medicine | 177 W 4th St, Oswego, NY 13126-3009 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154717379 | Tricia R Vivlamore Np Family Health PC | Clinic/Center | 249a Washington Blvd., Oswego, NY 13126 | 2015-04-14 |
| 1891392031 | Haskell Regional Hospital, Inc. | Clinic/Center | 800 Barker Dr Ste B, Oswego, KS 67356-9022 | 2020-10-01 |
| 1013328087 | Dr. Padma Ram Medical Services, LLC | Clinic/Center | 300 State Route 104, Oswego, NY 13126-2956 | 2014-05-13 |
| 1265794457 | Vilma Junio,physicain,pllc | Clinic/Center | 101 W Utica St, Suite B, Oswego, NY 13126-3165 | 2012-06-13 |
| 1992916613 | Vilma Junio,physician, Pllc | Clinic/Center | 11 4th Ave, Suite C, Oswego, NY 13126-1852 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARLOS DATOR JR., M.D., P.C..
| 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.