| Fairgrounds Family Physicians PLLC | |
|
115 Fairgrounds Drive Manlius NY 13104 | |
| (315) 682-6165 | |
| (615) 682-7929 |
| Full Name | Fairgrounds Family Physicians PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Fairgrounds Drive, Manlius, New York |
| Authorized Official Name and Position | Philip Kaplan (MEMBER) |
| Authorized Official Contact | 3156826165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairgrounds Family Physicians PLLC 115 Fairgrounds Drive Manlius NY 13104 Ph: (315) 682-6165 | Fairgrounds Family Physicians PLLC 115 Fairgrounds Drive Manlius NY 13104 Ph: (315) 682-6165 |
| NPI Number | 1174690440 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 3577646835 |
|---|---|
| Medicare Enrollment ID | O20080208000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174690440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Virginia S Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467431718 PECOS PAC ID: 8022034263 Enrollment ID: I20051018000426 |
| Provider Name | Philip Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033224738 PECOS PAC ID: 1759464019 Enrollment ID: I20101006000853 |
| Provider Name | Karen Oliver Nardella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427163112 PECOS PAC ID: 5294818555 Enrollment ID: I20101006000896 |
| Provider Name | Patrick J Nappi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063962850 PECOS PAC ID: 6608156187 Enrollment ID: I20161130000567 |
Brian Y Changlai MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4921 Briarwood Ln, Manlius, NY 13104 Phone: 315-637-5986 |
J. Christopher Stringer, MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 Pewter Ln, Manlius, NY 13104 Phone: 315-760-3490 Fax: 315-682-2030 |
Geeta Sangani Physician PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 W Seneca St, Manlius, NY 13104 Phone: 315-682-5080 Fax: 315-682-2150 |