Personalized care for lasting wellness.
Skip the barriers of traditional healthcare. Enjoy same-day access, unhurried visits, and a physician who knows your story, all under one transparent membership.
We believe healthcare should feel different.
Direct Access
Call, text, or securely message your physician.
Unhurried Visits
30-60 minute appointments designed around your needs.
Your Own Doctor
See the physician who knows you-not a rotating provider.



Patient-Focused
A different model, built around you.
Direct Primary Care replaces insurance-driven, rushed medicine with a simple membership and a real relationship with your doctor. Here is what that changes.
One simple monthly membership.
Instead of copays, deductibles, and surprise bills, you pay one predictable monthly membership that covers your primary care entirely. No insurance billing for your visits, no hidden fees, and you can cancel anytime.

Your doctor, within reach.
Reach your physician directly by phone, text, or secure message, without phone trees or gatekeepers. When something comes up, you talk to the doctor who already knows your history, not a call center.

Time to be heard.
Traditional visits average just a few minutes. At North Core, appointments run 30 to 60 minutes, so your physician can listen fully, look at the whole picture, and build a plan around your real life, not the clock.

One doctor who knows you.
Every visit is with your own physician, never a rotating substitute. That continuity means better prevention, fewer things falling through the cracks, and care coordinated around you over the long term.

Board-certified doctors who
know you by name.
Comprehensive care, all under one membership.
From everyday primary care to specialized programs, your physician coordinates it all.
Primary and Preventive Care
Personalized, relationship-based care for every stage of life, from annual wellness visits to long-term health planning.
Weight and Metabolic Health
Evidence-based weight management focused on improving health, supporting metabolism, and achieving lasting results.
Women's Health and Hormone Therapy
Personalized care for every stage of life, including perimenopause, menopause, hormone health, and healthy aging.
Mental Health
Compassionate, confidential primary care for anxiety, depression, ADHD, sleep, stress, and emotional well-being.
Men's Health
Comprehensive, personalized care focused on prevention, energy, metabolic health, sexual health, and long-term well-being.
Telehealth
Convenient, personalized virtual care with a physician who already knows you and your health history.
Labs, medications, imaging, procedures, vaccines, and wellness services may be billed separately or offered at transparent discounted pricing.

A clinic built around better care.
Designed for longer visits, meaningful conversations, and a welcoming experience from the moment you walk through the door.
Address
333 State Highway 310
Canton, NY 13617
Opening Early 2027
Now Accepting Membership Reservations.
Be First When Enrollment Opens.
One transparent monthly price. Everything you need.
Every membership includes unlimited visits, direct physician access, and same- or next-day care. No copays, no surprise bills.
No payment today. Reservation does not guarantee membership until enrollment opens.
AYRA WELLNESS
A dedicated space for movement, mindfulness, and healthy living, designed to complement the care provided at North Core Medical.
Small-group fitness, mobility, and strength
Yoga, breathwork, and stress reduction.
Workshops on nutrition and healthy aging.
Ayra Wellness LLC is a separate affiliated wellness business. North Core Medical members receive discounted pricing on all programs.
Better care. Lower costs.
Your membership goes further than the visit. Members get many medications and lab tests at low, transparent prices, often walking out of an appointment with their medication in hand.

- Antibiotics
- Blood pressure meds
- Diabetes medications
- Cholesterol medications

Affordable bloodwork through trusted laboratory partners.
- CBC, CMP, Lipid Panel
- A1c, Thyroid panel
- Vitamin D & B12
- Hormone panel

We help members compare self-pay imaging options before scheduling, when clinically appropriate.
- X-ray
- Ultrasound
- CT scans
- MRI
- DEXA & mammography
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We always recommend the lowest-cost option.Whether that is purchasing from our office or using your insurance, we help you choose the most affordable path.
Real relationships. Real results.
Kathleen Keller
“I had a very positive experience with Doctor Raj. She takes the time to listen, never making me feel rushed or dismissed. Every question I had was answered clearly and thoughtfully. She is direct and honest in her communication, which I appreciate.”
Bobbi Bradish
"Dr. Raj is very thorough and gives detailed explanation of test, procedures she is upfront and honest , she listens attentively to her patients needs and gives helpful input to help her patients, I am very pleased with her."
Steven Clark
“I have had nothing but great experiences with Dr. Raj. From the moment I walked in, I felt welcomed and cared for. Dr. Raj took the time to really listen to my concerns, explained everything clearly, and made sure I was comfortable with my treatment plan.”
SJ Hamilton
"I have been a patient of Dr. Rajagopal for approximately 3 years. I absolutely love her and believe that she has been instrumental in saving my life not on one but two occasions."
Parry Bissonette
"My mother and I are extremely happy with the service’s she provides us! Answers any questions and takes time to explain everything thoroughly! Her expertise is exceptional and happy to travel over two hrs to see her! Definitely the woman to have as your primary Dr. Thank you for all you do!"
Marsha Hollinger
"She gave me tough love in which I needed to hear. She genuinely cares about you as a person! I want to thank her for getting me back on the right track and bettering my health."
Larry Olmstead
“Dr. Path has been an amazing help to me with my recent medical issues. He listened to me attentively and thoroughly where others dismissed my issues.”
Jacqueline Miller
“I've been seeing Dr. Path for a couple of years. I appreciate that he takes the time to listen, offers suggestions, and asks my opinion on treatment options.”
Bryan Knight
"In an area where is not easy to get health care, it’s refreshing to find a professional and caring doctor. Dr. Path is a wonderful doctor and human being. He really listens to you and is attentive and kind.”
Elayne Woodcock
“Thank you Dr. Path for everything... You are truly one of the best doctors I've met! Keep up the great work”
Jeremy Dutton
“Dr. Pathmalingam is a great Dr. I am used to providers when they see my weight the first thing they ask is if I considered weight loss surgery. Dr. Path didn't do that instead he took time to talk to me about changing how I eat, how to count and log calories, intermittent fasting, and medications that can help with weight loss.”
Tom James
“Dr. Path is fantastic doctor will work with you to address your health needs.”
Larry Olmstead
“Dr. Path has been an amazing help to me with my recent medical issues. He listened to me attentively and thoroughly where others dismissed my issues.”
Jacqueline Miller
“I've been seeing Dr. Path for a couple of years. I appreciate that he takes the time to listen, offers suggestions, and asks my opinion on treatment options.”
Everything you need to know.
What is Direct Primary Care?
Do I still need insurance?
What’s included in the membership?
Can I use my HSA or FSA to pay for my membership?

Dr. Thivisa Rajagopal, MD
Founding physician
Family physician with a focus on preventive care, women’s health, hormone therapy, weight management, and metabolic health.
Dr. Thushan Pathmalingam, MD
Founding Physician and President
Family physician with a focus on preventive care, men’s health, weight management, chronic disease management, and addiction and recovery care.