Provider Demographics
NPI:1073943478
Name:OAKFIELD FAMILY MEDICAL CARE, PLLC
Entity Type:Organization
Organization Name:OAKFIELD FAMILY MEDICAL CARE, PLLC
Other - Org Name:ALAN J BARCOMB, MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BARCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-948-8077
Mailing Address - Street 1:41 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125
Mailing Address - Country:US
Mailing Address - Phone:585-948-8077
Mailing Address - Fax:585-948-9159
Practice Address - Street 1:41 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125
Practice Address - Country:US
Practice Address - Phone:585-948-8077
Practice Address - Fax:585-948-9159
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAKFIELD FAMILY MEDICAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01638595Medicaid
NYG10484Medicare UPIN
NY01638595Medicaid