CANTON-POTSDAM MEDICAL PRACTICE PLLC
NPI 1760821417
Clinic/Center - Multi-Specialty in Canton, NY
NPI Status: Active since June 17, 2013
Contact Information
80 EAST MAIN STREET
CANTON, NY
ZIP 13617
Phone: (315) 265-3300
Fax: (315) 261-6025
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 33D0167788
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-26-2027
About CANTON-POTSDAM MEDICAL PRACTICE PLLC
This page provides the complete NPI Profile along with additional information for Canton-potsdam Medical Practice Pllc, a provider established in Canton, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1760821417 assigned on June 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ashley Peggs (Provider Enrollment Manager)
- NPI
- 1760821417
- Provider Name
- CANTON-POTSDAM MEDICAL PRACTICE PLLC
- Entity Type
- Organization
- Location Address
- 80 EAST MAIN STREET CANTON, NY 13617
- Location Phone
- (315) 265-3300
- Location Fax
- (315) 261-6025
- Mailing Address
- 50 LEROY ST POTSDAM, NY 13676
- Mailing Phone
- (315) 265-3300
- Mailing Fax
- (315) 261-6025
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2013
- Last Update Date
- 11-13-2024
- Code Navigator
Location Map
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J100093911 | OTHER (01) | NY | PTAN |
| 03652971 | MEDICAID (05) | NY |
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
- 33D0167788
- Facility Type
- Hospital
- Certificate Effective Date
- August 28, 1995
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. SCOTT F. LAPOINT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Canton-potsdam Medical Practice Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 7 | 6 | 0 | 8 | 2 | 1 | 4 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 16 | 2 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 6 + 2 + 2 + 4 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1760821417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902845621 | MRS. KATHLEEN M TERRENCE M.D. Individual | Pediatrics | 80 EAST MAIN STREET CANTON, NY 13617 (315) 261-7180 |
| 1043367535 | NORTH COUNTRY PSYCHIATRIC ASSOCIATES Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 80 EAST MAIN STREET SUITE 255 CANTON, NY 13617 (315) 379-9162 |
| 1912277393 | MRS. ROBIN EVE GATLIARDI LMHC Individual | Counselor (Mental Health) | 80 EAST MAIN STREET SUITE 255 CANTON, NY 13617 (315) 379-9162 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760821417, enumerated in the NPI registry as an "organization" on June 17, 2013
The provider is located at 80 East Main Street Canton, Ny 13617 and the phone number is (315) 265-3300
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 33D0167788 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 17, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.