| Claxton Medical Pc | |
|
3 Lyon Pl Suite 200 Ogdensburg NY 13669-2590 | |
| (315) 394-7542 | |
| (315) 394-0015 |
| Full Name | Claxton Medical Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 3 Lyon Pl, Ogdensburg, New York |
| Authorized Official Name and Position | Michael Seidman (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3153947542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claxton Medical Pc 3 Lyon Pl Suite 200 Ogdensburg NY 13669-2590 Ph: (315) 394-7542 | Claxton Medical Pc 3 Lyon Pl Suite 200 Ogdensburg NY 13669-2590 Ph: (315) 394-7542 |
| NPI Number | 1114164944 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 11/15/2024 |
| Medicare PECOS PAC ID | 0244389153 |
|---|---|
| Medicare Enrollment ID | O20090526000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114164944 | NPI | - | NPPES |
| 03117948 | Medicaid | NY |
| Provider Name | Gordon L Heiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053330563 PECOS PAC ID: 7618961681 Enrollment ID: I20040413000224 |
| Provider Name | Bruce L Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609859966 PECOS PAC ID: 9436144300 Enrollment ID: I20040419001496 |
| Provider Name | John D Schaefer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841227816 PECOS PAC ID: 6406839141 Enrollment ID: I20040616000557 |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952309411 PECOS PAC ID: 0840260808 Enrollment ID: I20040728000050 |
| Provider Name | Alka Srivastava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780782185 PECOS PAC ID: 8820041429 Enrollment ID: I20050223000577 |
| Provider Name | Sylvia T Goodwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700970308 PECOS PAC ID: 9931155892 Enrollment ID: I20050324000215 |
| Provider Name | Jeffrey M Desimone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699726737 PECOS PAC ID: 8820019631 Enrollment ID: I20051208000288 |
| Provider Name | Way F Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265479331 PECOS PAC ID: 4486665593 Enrollment ID: I20060605000025 |
| Provider Name | Elan W Salzhauer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518915040 PECOS PAC ID: 4880606946 Enrollment ID: I20060612000072 |
| Provider Name | Po N Lam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043265747 PECOS PAC ID: 9638174832 Enrollment ID: I20060921000427 |
| Provider Name | David A Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801824255 PECOS PAC ID: 8325046394 Enrollment ID: I20061130000464 |
| Provider Name | Robert Digiacco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437138336 PECOS PAC ID: 8224097431 Enrollment ID: I20070307000070 |
| Provider Name | Marta M Anghel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891855730 PECOS PAC ID: 0345348520 Enrollment ID: I20070612000462 |
| Provider Name | Manasvi Jaitly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205036878 PECOS PAC ID: 9931297751 Enrollment ID: I20071113000093 |
| Provider Name | Sandeep G Sirsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336138213 PECOS PAC ID: 3476622390 Enrollment ID: I20080519000570 |
| Provider Name | Christopher Brandy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740371137 PECOS PAC ID: 8022183045 Enrollment ID: I20080826000338 |
| Provider Name | Mersema T Abate |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497950133 PECOS PAC ID: 3577614015 Enrollment ID: I20090624000138 |
| Provider Name | Michael Seidman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134188725 PECOS PAC ID: 2860300944 Enrollment ID: I20090723000683 |
| Provider Name | David M Albala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386734531 PECOS PAC ID: 6608807185 Enrollment ID: I20100209000120 |
| Provider Name | Thomas H Herzog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760435952 PECOS PAC ID: 4183648439 Enrollment ID: I20100322000853 |
| Provider Name | D Peter Vaneenenaam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316920481 PECOS PAC ID: 3577699438 Enrollment ID: I20100330000758 |
| Provider Name | Nata Z Parnes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366638728 PECOS PAC ID: 8022204940 Enrollment ID: I20101118000080 |
| Provider Name | Richard D Tombler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447532916 PECOS PAC ID: 0446423495 Enrollment ID: I20111108000108 |
| Provider Name | Orakwao D Dowuona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366728594 PECOS PAC ID: 4981855293 Enrollment ID: I20121114000667 |
| Provider Name | Jeff D Perrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245675495 PECOS PAC ID: 7911147988 Enrollment ID: I20130716000329 |
| Provider Name | Eleazar O'garro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164650610 PECOS PAC ID: 3274777073 Enrollment ID: I20130918000002 |
| Provider Name | Yezina T Nigatu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760610554 PECOS PAC ID: 8729215777 Enrollment ID: I20160902001709 |
| Provider Name | Ahmed M Mahmoud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114940038 PECOS PAC ID: 4981777315 Enrollment ID: I20170113000307 |
| Provider Name | Steven A Mussett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376081240 PECOS PAC ID: 9739463183 Enrollment ID: I20170302000579 |
| Provider Name | Sonja J Kocan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225579626 PECOS PAC ID: 5991072308 Enrollment ID: I20170606000537 |
| Provider Name | Bartlomiej Wojciech Szczech |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417242348 PECOS PAC ID: 3476825829 Enrollment ID: I20170818001783 |
| Provider Name | Emily Szczech |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801181938 PECOS PAC ID: 4385930585 Enrollment ID: I20170821001828 |
| Provider Name | Kenneth C Hilborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144741158 PECOS PAC ID: 1355614132 Enrollment ID: I20170829003770 |
| Provider Name | Aathirayen Thiyagarajah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962490698 PECOS PAC ID: 5991830366 Enrollment ID: I20171027000207 |
| Provider Name | Kaichun Wei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013237601 PECOS PAC ID: 8426182221 Enrollment ID: I20190308001815 |
| Provider Name | Mohamed Ali Al Saied |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033598008 PECOS PAC ID: 4385956663 Enrollment ID: I20190626001211 |
| Provider Name | Isabelle A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255962551 PECOS PAC ID: 3779912100 Enrollment ID: I20200406000739 |
| Provider Name | Alana Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255940037 PECOS PAC ID: 6800214891 Enrollment ID: I20200908000953 |
| Provider Name | Marissa Novack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235525650 PECOS PAC ID: 1254733694 Enrollment ID: I20210708000913 |
| Provider Name | Gillian Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609544337 PECOS PAC ID: 8921405630 Enrollment ID: I20210923000258 |
| Provider Name | Felipe Orellana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457756124 PECOS PAC ID: 8224373774 Enrollment ID: I20220322001063 |
| Provider Name | Carolyn Marie Hettrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578765475 PECOS PAC ID: 2062546765 Enrollment ID: I20220427000767 |
| Provider Name | Chelsea Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700518669 PECOS PAC ID: 5991188054 Enrollment ID: I20220823000799 |
| Provider Name | Michael Betler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407158108 PECOS PAC ID: 4688808678 Enrollment ID: I20230117001552 |
| Provider Name | Mark Aidan Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851303978 PECOS PAC ID: 3173512423 Enrollment ID: I20230412000887 |
| Provider Name | Joan M Christensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215558507 PECOS PAC ID: 9537524871 Enrollment ID: I20230420001813 |
| Provider Name | Michael J Magee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689669806 PECOS PAC ID: 9335039973 Enrollment ID: I20230501000321 |
| Provider Name | Louis Reines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225236151 PECOS PAC ID: 4385816131 Enrollment ID: I20230809002971 |
| Provider Name | Farid A Hakim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013002849 PECOS PAC ID: 2163594185 Enrollment ID: I20240212001575 |
| Provider Name | Robert S Davidson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942209549 PECOS PAC ID: 8325124035 Enrollment ID: I20240306003422 |
| Provider Name | Mojgan Javadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972820900 PECOS PAC ID: 4284049289 Enrollment ID: I20240521001736 |
| Provider Name | Karan Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037636 PECOS PAC ID: 8527292036 Enrollment ID: I20240607002306 |
| Provider Name | Timi Akins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023099561 PECOS PAC ID: 1658398003 Enrollment ID: I20240607002998 |
| Provider Name | Jon Pirrello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114961604 PECOS PAC ID: 9133123060 Enrollment ID: I20240716002727 |
| Provider Name | Meagan T Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497588990 PECOS PAC ID: 8729519582 Enrollment ID: I20241003001753 |
| Provider Name | Brendan Burke Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942228127 PECOS PAC ID: 8820001373 Enrollment ID: I20241203003403 |
Carthage Area Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 King St Ste A, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Marta Anghel, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-393-3404 Fax: 315-393-3486 | |
Claxton-hepburn Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Horwood Pl, Ogdensburg, NY 13669 Phone: 315-394-9462 | |
North Country Family Health Np Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Cedar St, Ogdensburg, NY 13669 Phone: 315-713-4328 Fax: 315-713-4667 | |
Carthage Area Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Horwood Pl, Ogdensburg, NY 13669 Phone: 315-394-9462 Fax: 315-713-5291 | |
Seaway Healthcare Of Ogdensburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 State St, Ogdensburg, NY 13669 Phone: 315-393-6749 Fax: 315-394-1417 |