DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC (NPI# 1053505511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053505511 |
Entity Type | Organization |
Organization Name | DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC |
Practice Address |
5112 W Taft Rd Suite E Liverpool NY 13088-4868 |
Practice Telephone | 3154107400 |
Practice Fax Number | 3154584183 |
Mailing Telephone | 3154107400 |
Mailing Fax Number | 3154584183 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2015-08-25 |
Authorized Official Name | LAUREEN KEEGAN (ADMINISTRATOR) |
Authorized Official Telephone | 3154107400 |
Authorized Official Credential | RN MSN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02966690 | 05 |
Street Address |
5112 W TAFT RD SUITE E |
City | LIVERPOOL |
State | NY |
Zip Code | 13088-4868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043202641 | Gastroenterology & Hepatology of Central New York, PC | Anesthesiology | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2005-08-19 |
1073996567 | Matthew Romano | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-07-02 |
1912388752 | Carolyn Gaulke | Nurse Practitioner | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-06-17 |
1942645213 | Sarah Barnhardt | Massage Therapist | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2013-05-01 |
1598041766 | Melanie F Salanger | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2011-11-01 |
1649410762 | George Elbayadi | Anesthesiology | 5112 W Taft Rd, Ste H, Liverpool, NY 13088-4868 | 2009-03-02 |
1891934527 | Theresa Hobbs | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2009-02-19 |
1669654323 | Gregory Wolanski | Pharmacist | 5112 W Taft Rd, Suite A, Liverpool, NY 13088-4868 | 2007-12-04 |
1912193186 | Renee L Pierce | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2007-09-20 |
1669667671 | Syracuse Hematology Oncology PC | Internal Medicine | 5112 W Taft Rd, Suite J, Liverpool, NY 13088-4868 | 2007-09-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
Find all providers in zip 13088 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265488563 | Syracuse Asc, LLC | Clinic/Center | 225 Greenfield Pkwy, Suite 105, Liverpool, NY 13088-6666 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC.
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.