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FAXTON ST LUKES HEALTHCARE
NPI 1982790937
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Herkimer, NY

Active since October 05, 2006
201 E STATE ST, HERKIMER, NY 13350(315) 823-5385 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jul 27, 2022, Feb 3, 2022 and 2 more (5 updates tracked since 2018).

About Faxton St Lukes Healthcare NPPES

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

FAXTON ST LUKES HEALTHCARE (NPI 1982790937) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Herkimer, New York and active in the NPI registry since October 2006. The organization lists Cody White, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1982790937
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFAXTON ST LUKES HEALTHCARE
Location Address201 E STATE STHerkimer, NY 13350
Mailing Address2209 Genesee St/ Business Office, Room #315Utica, NY 13501-5809 · (315) 801-3282
Phone(315) 823-5385
Organization SubpartYes
Authorized OfficialCody WhiteRevenue Cycle Director · (315) 801-4429
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 12, 20235 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1982790937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in NY · 3202003H
201 E STATE ST, Herkimer, NY 13350
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Other Providers at the Same Location NPPES 8

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

MANDEEP KATARIA MD
Family Medicine
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300
MRS. VANESSA RACHEL PERRY LCSW
Social Worker
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300
MR. KURT SPENCER WALBURN PA-C
Physician Assistant
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (607) 398-4713
DEEPAK SHARMA MD
Family Medicine
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300
BRIANA BRINDISI LMSW
Social Worker
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 624-8563
MS. JOAN CLAIRE OBMANA REBUSTILLO PA-C
Physician Assistant
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300
MR. LARRY GENE MARTINSON PA-C
Physician Assistant (Medical)
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300
MVNY PARTNERS V LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
201 E STATE ST
HERKIMER, NY 13350
Herkimer County (315) 574-2300

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 Faxton St Lukes Healthcare's NPI number?

The NPI number for Faxton St Lukes Healthcare is 1982790937. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Faxton St Lukes Healthcare located?

Faxton St Lukes Healthcare is located at 201 E State St, Herkimer, NY 13350. The listed phone number is (315) 823-5385.

What is Faxton St Lukes Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Faxton St Lukes Healthcare was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.