PORT CITY FAMILY MEDICINE P.C. INC
NPI 1215028055
Family Medicine in Oswego, NY

Q: What is Port City Family Medicine P.C. Inc's NPI number?

The NPI number for Port City Family Medicine P.C. Inc is 1215028055. It was assigned to this organization in the NPPES registry on September 27, 2006.

Q: What is Port City Family Medicine P.C. Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 27, 2006CLIA 33D0165866 · Microscopy

33 E SCHUYLER ST, OSWEGO, NY 13126(315) 343-6974(315) 342-3625 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Port City Family Medicine P.c. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT CITY FAMILY MEDICINE P.C. INC (NPI 1215028055) is a healthcare organization registered as a family medicine in Oswego, New York and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through January 25, 2027 and lists Corliss Adam Varnum, President, as its authorized official.

NPPES Registry Identity

NPI1215028055

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePORT CITY FAMILY MEDICINE P.C. INC

Location Address33 E SCHUYLER STOswego, NY 13126-1161

Mailing Address33 E Schuyler StOswego, NY 13126-1161 · (315) 343-6974 · Fax (315) 342-3625

Phone(315) 343-6974

Fax(315) 342-3625

Organization SubpartNo

Authorized OfficialCorliss Adam VarnumPresident · (315) 343-6974

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMarch 15, 2019

✔ NPI 1215028055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

33 E SCHUYLER ST, Oswego, NY 13126

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Other Identifiers 1

Medicaid00964989NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0165866

Port City Family Medicine PC · Oswego, NY

Active · expires Jan 25, 2027

CLIA Number33D0165866

Laboratory TypePhysician Office

Certificate Effective DateJanuary 26, 2025

Certificate Expiration DateJanuary 25, 2027

Laboratory DirectorDr. Matthew J. Liepke

Laboratory Phone(315) 343-6976

Laboratory LocationPort City Family Medicine PC33 East Schuyler Street, Oswego, NY 13126

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY CRANDELL PA

Physician Assistant (Medical)