FAMILY HEALTH MEDICAL SERVICES PLLC (NPI# 1619072204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619072204 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH MEDICAL SERVICES PLLC |
| Practice Address |
95 East Chautauqua St. Mayville NY 14757-0168 |
| Mailing Address |
95 East Chautauqua St. Po Box 168 Mayville NY 14757-0168 |
| Practice Telephone | 7167537107 |
| Practice Fax Number | 7167537980 |
| Mailing Telephone | 7167537107 |
| Mailing Fax Number | 7167537980 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-02-29 |
| Authorized Official Name | DR. ROBERT BERKE (MANAGER) |
| Authorized Official Telephone | 7167537107 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBSWNY | GRP512246001 | 01 |
| NY | 02849278 | 05 |
| Street Address |
95 EAST CHAUTAUQUA ST. |
| City | MAYVILLE |
| State | NY |
| Zip Code | 14757-0168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144598129 | Michele Therese Jones | Speech-Language Pathologist | 100 North Erie Street, Chautauqua Lake Central School-erie 2 Boces Program, Mayville, NY 14757 | 2011-12-06 |
| 1043351935 | Melody A Dejohn | Counselor | 99 S Erie St, Mayville, NY 14757 | 2007-02-12 |
| 1386794006 | Vivian Karen Gerard | Counselor | 7 North Erie Street, Mayville, NY 14757 | 2007-01-12 |
| 1467487413 | Connie Jo Tonger | Nurse Practitioner | 95 E Chautauqua St, Mayville, NY 14757 | 2006-07-11 |
| 1104150507 | Jerome Thomas Scholl | Dentist | 126 W. Lake Rd., Mayville, NY 14757-0000 | 2009-10-01 |
| 1932355229 | Wallace B Johnson | Dentist | West Lake Road, Mayville, NY 14757-0126 | 2008-08-18 |
| 1528345469 | Sarah Ann Uebelhoer | Physician Assistant | 95 East Chautauqua St, Mayville, NY 14757-0168 | 2011-11-07 |
| 1972572691 | Roy M Sleboda | Physician Assistant | 95 E Chautauqua St., Mayville, NY 14757-0168 | 2006-03-15 |
| 1952384844 | Ralph Gerald Walton | Psychiatry & Neurology | 95 East Chautauqua Street, Mayville, NY 14757-0168 | 2005-11-23 |
| 1437140423 | Stephanie Redlecki | Physician Assistant | 95 E Chautauqua St, Mayville, NY 14757-0168 | 2005-10-31 |
| Find all providers in zip 14757 | ||||
| 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 |
|---|---|---|---|---|
| 1427049063 | Beth Collister | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2005-11-02 |
| 1154821387 | Mayville Family Practice LLC | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2018-02-14 |
| 1750835054 | Paladina Health, LLC | Family Medicine | 11 S Main St, Mayville, WI 53050-1641 | 2016-08-04 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1114281250 | Sanford Health Network North | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2012-07-03 |
| 1851610950 | Jeremy Martin Riedesel | Family Medicine | 95 E Chautauqua St, Mayville, NY 14757-0168 | 2010-05-28 |
| 1063672749 | Jane Ostlie | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2008-06-16 |
| 1376625103 | Charles E Sammis | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2006-10-20 |
| 1316028400 | Maria Livieratos | Family Medicine | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-10-17 |
| 1093755068 | Alisha L Ketterer | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2006-06-07 |
| Find all providers in MAYVILLE | ||||
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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.