Carlos O Dator Jr. (NPI# 1114287158, PAC ID# 2163732116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114287158 |
| PAC ID by PECOS | 2163732116 |
| Professional Enrollment ID | I20151104000984 |
| Full Name | Carlos O Dator Jr. |
| Organization Legal Name | CARMEN BAUTISTA DATOR, MD PC |
| Address |
177 W 4th St Oswego NY 13126-3009 |
| Phone Number | 3153432151 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688617764 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495511 | OSWEGO HOSPITAL |
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495522 | ROCKAWAY EMERGENCY MEDICINE SERVICES PC |
| 177 W 4th St, Oswego, NY 13126-3009 | 3153432151 | CARMEN BAUTISTA DATOR, MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% |
| Organization Legal Name | CARMEN BAUTISTA DATOR, MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen S Bautista-dator | Family Medicine | Carmen Bautista Dator, Md PC | 177 W 4th St, Oswego, NY 13126-3009 |
| Nicci L Nelson | Nurse Practitioner | Carmen Bautista Dator, Md PC | 177 W 4th St, Oswego, NY 13126-3009 |
| Street Address |
177 W 4TH ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-3009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen S Bautista-dator | Family Medicine | Carmen Bautista Dator, Md PC | 177 W 4th St, Oswego, NY 13126-3009 |
| Nicci L Nelson | Nurse Practitioner | Carmen Bautista Dator, Md PC | 177 W 4th St, Oswego, NY 13126-3009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OSWEGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carlos O Dator Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.