1. Home
  2. Directory
  3. New York
  4. Castile
  5. Family Medicine
  6. NPI Profile

WYOMING COUNTY FAMILY MEDICINE PC
NPI 1417594623
Family Medicine in Castile, NY

Active since December 06, 2019CLIA Certified · 3 labs
5596 GAINESVILLE ROAD, CASTILE, NY 14427(585) 793-9230 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2022, Sep 24, 2020, Dec 23, 2019 and 1 more (4 updates tracked since 2019).

About Wyoming County Family Medicine Pc NPPES

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

WYOMING COUNTY FAMILY MEDICINE PC (NPI 1417594623) is a healthcare organization registered as a family medicine in Castile, New York and active in the NPI registry since December 2019. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Dale Deahn, Owner, as its authorized official.

NPPES Registry Identity

NPI1417594623
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWYOMING COUNTY FAMILY MEDICINE PC
Location Address5596 GAINESVILLE ROADCastile, NY 14427
Mailing Address400 N Main StWarsaw, NY 14569-1025 · (585) 786-8940 · Fax (585) 492-4681
Phone(585) 793-9230
Organization SubpartYesParent: Wy Cnty Comm Hosp
Authorized OfficialDale DeahnOwner · (585) 492-5088
Enumeration DateDecember 6, 2019
Last NPPES UpdateFebruary 8, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1417594623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
5596 GAINESVILLE ROAD, Castile, NY 14427
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1400 N Main StWarsaw, NY 14569-1025 · Phone (585) 786-1541 · Fax (585) 492-4681
Location 2401 Main StArcade, NY 14009-1113 · Phone (585) 492-5088 · Fax (585) 492-4681
Location 335 Main StAttica, NY 14011-1038 · Phone (585) 591-2186

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 33D0686074

Wyoming County Family Medicine Arcade · Arcade, NY
Active · expires Mar 26, 2027
CLIA Number33D0686074
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ahmed G. Bayoumi
Laboratory Phone(585) 492-5088
Laboratory LocationWyoming County Family Medicine Arcade401 Main St, Arcade, NY 14009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2221592

Wyoming County Family Medicine Attica · Attica, NY
Active · expires Mar 26, 2027
CLIA Number33D2221592
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ripple M. Marfatia
Laboratory Phone(585) 591-2186
Laboratory LocationWyoming County Family Medicine Attica35 Main Street, Attica, NY 14011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2221593

Wyoming County Family Medicine, PC Castile · Castile, NY
Active · expires Mar 26, 2027
CLIA Number33D2221593
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ripple M. Marfatia
Laboratory Phone(585) 493-9230
Laboratory LocationWyoming County Family Medicine, PC Castile5596 State Route 19A, Castile, NY 14427
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyoming County Family Medicine PC's NPI number?

The NPI number for Wyoming County Family Medicine PC is 1417594623. It was assigned to this organization in the NPPES registry on December 6, 2019.

Where is Wyoming County Family Medicine PC located?

Wyoming County Family Medicine PC is located at 5596 Gainesville Road, Castile, NY 14427. The listed phone number is (585) 793-9230.

What is Wyoming County Family Medicine PC's specialty?

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

Does Wyoming County Family Medicine PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wyoming County Family Medicine PC was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.