OSWEGO FAMILY PHYSICIANS
NPI 1629489588
Non-Pharmacy Dispensing Site in Oswego, NY

NPI Status: Active since May 14, 2014

Contact Information

110 W UTICA ST
OSWEGO, NY
ZIP 13126
Phone: (315) 342-2024

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 33D0165888
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About OSWEGO FAMILY PHYSICIANS

This page provides the complete NPI Profile along with additional information for Oswego Family Physicians, a provider established in Oswego, New York operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1629489588 assigned on May 2014. The practitioner's primary taxonomy code is 332900000X with license number 231144 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Oswego Family Physicians. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1629489588
Provider Legal Name
OSWEGO FAMILY PHYSICIANS PC
Other Organization Name
OSWEGO FAMILY PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 W UTICA ST OSWEGO, NY 13126
Location Phone
(315) 342-2024
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-14-2014
Last Update Date
05-14-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
231144
License State
NY
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0165888
Facility Type
Physician Office
Certificate Effective Date
May 07, 2019
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. AHMAD AL-SALAMEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oswego Family Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OSWEGO FAMILY PHYSICIANS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629489588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26498818516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 8 + 8 + 1 + 8 + 5 + 1 + 6 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1629489588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477506996OSWEGO FAMILY PHYSICIANS, PC
Organization
Medical Genetics, Ph.D. Medical Genetics110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1477567493DR. ROBERT F SCHAEFER JR. DDS
Individual
Dentist (General Practice)110 W UTICA ST
OSWEGO, NY 13126
(315) 343-5430
1891721957DR. ROBERT CHARLES MORGAN M.D.
Individual
Family Medicine110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1154630366MRS. BOBBIE RAE FAIVUS VANGORDER P.A.
Individual
Physician Assistant (Medical)110 W UTICA ST
OSWEGO, NY 13126
(315) 349-5537
1578217972 SAMANTHA BLAIS PA-C
Individual
Physician Assistant (Medical)110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1659317980DR. MICHEAL D STEPHENS M.D.
Individual
Family Medicine110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1659450989DR. DOUGLAS PAUL GUENTER DOUGLAS GUENTER
Individual
Family Medicine110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1740247493MRS. JESSICA MARIE DIGBY PA-C
Individual
Physician Assistant110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1831126648DR. MARK ANTHONY HUMPHREY D.O.
Individual
Family Medicine110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024
1104608595 JAMIE WALLACE NP
Individual
Nurse Practitioner (Family)110 W UTICA ST
OSWEGO, NY 13126
(315) 668-1202
1477124113 RAVNEET KAUR MD
Individual
Family Medicine110 W UTICA ST
OSWEGO, NY 13126
(315) 342-2024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629489588, enumerated in the NPI registry as an "organization" on May 14, 2014

The provider is located at 110 W Utica St Oswego, Ny 13126 and the phone number is (315) 342-2024

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider's CLIA number is 33D0165888 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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