Port City Family Medicine P.C. Inc
NPI 1215028055ActiveOrganization· Family Medicine· Oswego, NY
Family Medicine in Oswego, New York, registered in NPPES in September 2006. The authorized official on file is Corliss Adam Varnum, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215028055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Mar 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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