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OGDENSBURG FAMILY PRACTICE LLC
NPI 1699183806
Family Medicine in Ogdensburg, NY

Active since July 31, 2014CLIA 33D0941342 · Waiver
921 STATE ST, OGDENSBURG, NY 13669(315) 393-9268(315) 393-3541 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2022, Jul 29, 2020 (2 updates tracked since 2020).

About Ogdensburg Family Practice Llc NPPES

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

OGDENSBURG FAMILY PRACTICE LLC (NPI 1699183806) is a healthcare organization registered as a family medicine in Ogdensburg, New York and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Wylon Springstead, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699183806
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOGDENSBURG FAMILY PRACTICE LLC
Location Address921 STATE STOgdensburg, NY 13669-3347
Mailing Address921 State StOgdensburg, NY 13669-3347 · (315) 393-9268 · Fax (315) 393-3541
Phone(315) 393-9268
Fax(315) 393-3541
Organization SubpartNo
Authorized OfficialWylon SpringsteadOffice Manager · (315) 393-9268
Enumeration DateJuly 31, 2014
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1699183806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
921 STATE ST, Ogdensburg, NY 13669
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Other Names 1

Doing Business AsOgdensburg Family Practice Llc

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 33D0941342

Ogdensburg Family Practice LLC · Ogdensburg, NY
Active · expires Feb 23, 2028
CLIA Number33D0941342
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorDr. Zachary Mashaw
Laboratory Phone(315) 393-9269
Laboratory LocationOgdensburg Family Practice LLC921 State Street, Ogdensburg, NY 13669
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CLAXTON MEDICAL PC
Family Medicine
921 STATE ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-1856
TRUDY M KIAH RPAC
Physician Assistant
921 STATE ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-9269
KRISTIN ELIZABETH LAMAY FNP
Nurse Practitioner (Family)
921 STATE ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-9269
CHRISTOPHER E COMEAU MD
Family Medicine
921 STATE ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-9269
DR. ZACHARY MARK MASHAW MD
Family Medicine
921 STATE ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-9268

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 Ogdensburg Family Practice LLC's NPI number?

The NPI number for Ogdensburg Family Practice LLC is 1699183806. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Ogdensburg Family Practice LLC located?

Ogdensburg Family Practice LLC is located at 921 State St, Ogdensburg, NY 13669. The listed phone number is (315) 393-9268.

What is Ogdensburg Family Practice LLC's specialty?

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

Does Ogdensburg Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0941342) is associated with this NPI, valid through February 23, 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 Ogdensburg Family Practice LLC was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.