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CANAL COUNTRY PA GROUP, PLLC
NPI 1437910031
Physician Assistant in Utica, NY

Active since January 22, 2024CLIA 33D2306189 · Waiver
258 GENESEE ST STE 203, UTICA, NY 13502(315) 790-6600 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canal Country Pa Group, Pllc NPPES

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

CANAL COUNTRY PA GROUP, PLLC (NPI 1437910031) is a healthcare organization registered as a physician assistant in Utica, New York and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Caitlin Ullman, Owner, as its authorized official.

NPPES Registry Identity

NPI1437910031
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCANAL COUNTRY PA GROUP, PLLC
Location Address258 GENESEE ST STE 203Utica, NY 13502-4636
Mailing Address258 Genesee St Ste 203Utica, NY 13502-4636
Phone(315) 790-6600
Organization SubpartNo
Authorized OfficialCaitlin UllmanOwner · (315) 534-4384
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1437910031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
258 GENESEE ST STE 203, Utica, NY 13502
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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 of Waiver 33D2306189

Canal Country PA Group PLLC · Utica, NY
Active · expires Jun 11, 2028
CLIA Number33D2306189
Laboratory TypeIndependent
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorDr. Richard Obrien
Laboratory Phone(315) 790-6600
Laboratory LocationCanal Country PA Group PLLC258 Genessee St Ste 203, Utica, NY 13502
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CNY MED MANAGEMENT
Psychiatry & Neurology (Child & Adolescent Psychiatry)
258 GENESEE ST STE 203
UTICA, NY 13502
Oneida County (315) 335-1285
MR. ERIC MICHAEL TAUBERT
Clinic/Center (Multi-Specialty)
258 GENESEE ST STE 203
UTICA, NY 13502
Oneida County (315) 335-1285

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 Canal Country PA Group, PLLC's NPI number?

The NPI number for Canal Country PA Group, PLLC is 1437910031. It was assigned to this organization in the NPPES registry on January 22, 2024.

Where is Canal Country PA Group, PLLC located?

Canal Country PA Group, PLLC is located at 258 Genesee St Ste 203, Utica, NY 13502. The listed phone number is (315) 790-6600.

What is Canal Country PA Group, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Canal Country PA Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2306189) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canal Country PA Group, PLLC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.