BLACK RIVER MEDICAL CENTER – NPI #1235184508
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

BLACK RIVER MEDICAL CENTER is a provider located in CARTHAGE, NY. NPPES has assigned the NPI number 1235184508 to BLACK RIVER MEDICAL CENTER on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLACK RIVER MEDICAL CENTER” is a dba name, the actual legal business name for this organization is MIRZA M ASHRAF, M.D., P.C.. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACK RIVER MEDICAL CENTER below.

NPI Profile for
MIRZA M ASHRAF, M.D., P.C.

NPI Number
1235184508
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRZA M ASHRAF, M.D., P.C.
Doing Business As (dba): BLACK RIVER MEDICAL CENTER
Primary location
1001 WEST ST
CARTHAGE, NY 13619-9703
Phone: (315) 493-1450 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CATHERINE MURPHY
PRACTICE MANAGER
Phone: (315) 493-1450
Updated
Identifiers

Identifiers for BLACK RIVER MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01420135
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
NY 113287

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.