CLAXTON MEDICAL PC NPI 1114164944

NPI Information

NPI: 1114164944
Provider Name: CLAXTON MEDICAL PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
CLIA Number: 33D2146905
Address: 3 LYON PL
SUITE 200
OGDENSBURG, NY
ZIP 13669
Phone: (315) 394-7542

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NPI Details

CLAXTON MEDICAL PC is a pediatrics in Ogdensburg, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CLAXTON MEDICAL PC NPI is 1114164944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 LYON PL
SUITE 200
OGDENSBURG, NY
ZIP 13669-590
Phone: (315) 394-7542
Fax: (315) 394-0015

The provider's authorized official is Michael Seidman .
The authorized official title is CHIEF MEDICAL OFFICERMedical Officer and has the following contact phone number (315) 394-7542.

The CLIA number assigned to this NPI record is 33D2146905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 11/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RN0300X	Internal Medicine	Nephrology	No
3	207X00000X	Orthopaedic Surgery		No
4	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	No
5	207XS0106X	Orthopaedic Surgery	Hand Surgery	No
6	208000000X	Pediatrics		Yes
7	2084N0400X	Psychiatry & Neurology	Neurology	No
8	208VP0000X	Pain Medicine	Pain Medicine	No
9	363AS0400X	Physician Assistant	Surgical	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03117948	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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