DR. THOMAS KAYSEE CHACKO (NPI# 1023224888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023224888 |
| Entity Type | Individual |
| Full Name | DR. THOMAS KAYSEE CHACKO |
| Credential | M.D. |
| Practice Address |
736 Irving Ave Syracuse NY 13210-1687 |
| Mailing Address |
5008 Brittonfield Pkwy Suite 100 East Syracuse NY 13057-9248 |
| Practice Telephone | 3154707551 |
| Practice Fax Number | 3154702719 |
| Mailing Telephone | 3152347600 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
264859 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
220765 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757216 | Thomas Geevarghese Chacko | Physical Therapist | 785 Mamaroneck Ave, White Plains, NY 10605-2523 | 2019-12-18 |
| 1356443089 | Thomas Chacko | Allergy & Immunology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2006-09-02 |
| Street Address |
736 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1417555079 | Drake Kingdon Burgess | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1457975567 | Clare Murphy | Speech-Language Pathologist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-04 |
| 1609498062 | Christopher James Limoncelli | Physical Therapist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-05-08 |
| 1265060016 | Amanda Lynn Webb | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-03-28 |
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063764249 | John P Marangola | Radiology | 306 Sedgwick Dr, Syracuse, NY 13203-1315 | 2012-10-11 |
| 1073803458 | Jennifer Nicole Taylor | Radiology | 102 Oakridge Cir, Syracuse, NY 13209-1718 | 2011-04-19 |
| 1457688731 | Michael Chang | Radiology | 104 Union Ave Ste 905, Syracuse, NY 13203-1845 | 2009-11-07 |
| 1023543295 | Atin Goel | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2017-04-26 |
| 1669906467 | Swati P Deshmane | Radiology | 750 E Adams St, Syracuse, NY 13210-1834 | 2017-04-18 |
| 1225473143 | Zhongxia Hu | Radiology | 750 E Adams St, Syracuse, NY 13210 | 2013-05-06 |
| 1396090866 | Mujtaba Mohammed | Radiology | 750 E Adams St, Syracuse, NY 13210 | 2012-07-19 |
| 1134408271 | Monda Lotfy Mansour Shehata | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2011-08-08 |
| 1265753784 | Amy Marcinkowski | Radiology | 301 Prospect Ave, Medical Education, Syracuse, NY 13203-1807 | 2010-06-18 |
| 1487886602 | Abdelmohsen Thabet Radwan Hussien | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2009-08-21 |
| 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.