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CLAXTON MEDICAL PC NPI 1114164944


NPI Information

NPI: 1114164944
Provider Name: CLAXTON MEDICAL PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 33D1107217

Address:
3 LYON PL
SUITE 200
OGDENSBURG, NY
ZIP 13669
Phone: (315) 394-7542
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CLAXTON MEDICAL PC is an orthopaedic surgery in Ogdensburg, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CLAXTON MEDICAL PC NPI is 1114164944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 LYON PL
SUITE 200
OGDENSBURG, NY
ZIP 13669-590
Phone: (315) 394-7542
Fax: (315) 394-0015

The provider's authorized official is Michael Seidman .
The authorized official title is CHIEF MEDICAL OFFICERMedical Officer and has the following contact phone number (315) 394-7542.

The CLIA number assigned to this NPI record is 33D1107217 - independent with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/15/2009 and was last updated on 8/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RN0300XInternal MedicineNephrologyNo
3207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
4207XS0106XOrthopaedic SurgeryHand SurgeryNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6208VP0000XPain MedicinePain MedicineNo
7363AS0400XPhysician AssistantSurgicalNo
8207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103117948MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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