OATKA FAMILY MEDICINE P.C. (OATKA FAMILY MEDICINE) - NPI NUMBER 1609111251

Summary

Provider Name: OATKA FAMILY MEDICINE P.C. (OATKA FAMILY MEDICINE)

NPI Number: 1609111251

Clasification: Clinic/Center (261QP2300X)

Specialization: Primary Care

Address:
5619 E MAIN ST
BATAVIA, NY
ZIP 14020

Phone Number: (585) 356-6259



Detailed Information

OATKA FAMILY MEDICINE P.C. is a primary care clinic/center in Batavia, NY. The assigned NPI number for this provider is 1609111251 and is registered as an organization entity type.
The provider Other Name Is Oatka Family Medicine.

The provider's business address is:

5619 E MAIN ST
BATAVIA, NY
ZIP 14020-609
Phone: (585) 356-6259

The provider's authorized official is Brittany Lee Morse .
The authorized official title is President and has the following contact phone number (585) 201-7055.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 10/1/2013.

Map - Location of Practice

Taxonomy Codes

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
1 261QP2300X Clinic/Center Primary Care Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 J100084443 OTHER NY MEDICARE PTAN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1609111251 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name OATKA FAMILY MEDICINE P.C. The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name OATKA FAMILY MEDICINE Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 5 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 5619 E MAIN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name BATAVIA The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 140209609 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 5853566259 The telephone number associated with the location address of the provider being identified.
13 Provider Enumeration Date 12/10/2012 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 10/1/2013 The date that a record was last updated or changed.
15 Authorized Official Last Name MORSE The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name BRITTANY The first name of the authorized official.
17 Authorized Official Middle Name LEE The middle name of the authorized official.
18 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
19 Authorized Official Telephone Number 5852017055 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 261QP2300X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 J100084443 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier State 1 NY
25 Other Provider Identifier Issuer 1 MEDICARE PTAN
26 Is Organization Subpart N
27 Authorized Official Name Prefix Text DR.
28 Authorized Official Credential Text M.D.

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1316265051 VELOCITY PHYSICAL THERAPY, PLLC Organization Clinic/Center (Physical Therapy)
1013968155 SPORTS PLUS PHYSICAL THERAPY PC Organization Clinic/Center (Physical Therapy)
1881097780 GENESEE MEDICAL, PLLC Organization Clinic/Center (Urgent Care)
1588602064 COUNTY OF GENESEE COUNTY TREASURER Organization Clinic/Center (Mental Health (Including Community Mental Health Center))
1982754776 GENESEE COUNCIL ON ALCOHOLISM & SUBSTANCE ABUSE INC Organization Clinic/Center (Rehabilitation, Substance Use Disorder)
1669416624 BUFFALO VAMC Organization Clinic/Center (VA)
1750442935 GENESEE COUNTY NURSING HOME Organization Clinic/Center (Adult Day Care)
1366573131 ORLEANS COMMUNITY HEALTH Organization Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1790027456 MCSWAIN MEDICAL OF BATAVIA PLLC Organization Clinic/Center (Urgent Care)


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.