MS. BONNIE LEE MARR I (NPI# 1003032962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003032962 |
| Entity Type | Individual |
| Full Name | MS. BONNIE LEE MARR I |
| Credential | MD |
| Practice Address |
736 Irving Ave Ste 9100 Syracuse NY 13210-1687 |
| Practice Telephone | 3154707379 |
| Practice Fax Number | 3154702923 |
| Mailing Telephone | 3154707379 |
| Mailing Fax Number | 3154702923 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
184692 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01626659 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295055010 | Bonnie Katherine Marr | Emergency Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2010-06-03 |
| Street Address |
736 IRVING AVE STE 9100 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225253271 | Neonatal Associates of Central New York PC | Pediatrics | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2007-04-16 |
| 1821616962 | Brittney Johnson | Nurse Practitioner | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2020-07-06 |
| 1609278142 | Pollyanne Carylnn Gabel | Physician Assistant | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386883569 | Boura'a A Bou Aram | Pediatrics | 736 Irving Avenue, Suite 9100, Syracuse, NY 13210 | 2009-02-12 |
| 1225253271 | Neonatal Associates of Central New York PC | Pediatrics | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2007-04-16 |
| 1114067360 | Beverly Jane Roy | Pediatrics | 725 Irving Ave Rm 107, Syracuse, NY 13210-1603 | 2007-02-07 |
| 1841330073 | Ellen Marie Bifano | Pediatrics | 736 Irving Ave Rm 9103, Syracuse, NY 13210-1687 | 2007-02-07 |
| 1417097619 | Steven James Gross | Pediatrics | 736 Irving Ave Rm 9104, Syracuse, NY 13210-1687 | 2007-02-07 |
| 1831239052 | Thomas Raphael Curran | Pediatrics | 736 Irving Ave Rm 9106, Syracuse, NY 13210-1687 | 2007-02-07 |
| 1942528997 | Matthew Crosby O'connor | Pediatrics | 301 Prospect Ave, Pediatrix Medical Group, Syracuse, NY 13203-1807 | 2010-05-13 |
| 1649431065 | Melissa Urckfitz Nelson | Pediatrics | 736 Irving Ave, Suite 9100, Syracuse, NY 13210-1687 | 2008-06-18 |
| 1356481592 | Michelle M Bode | Pediatrics | 725 Irving Ave Rm 107, Syracuse, NY 13210-1603 | 2007-02-07 |
| 1124049515 | Jonathan T Chai | Pediatrics | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2006-07-21 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.