DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC


Address: 5112 W Taft Rd, Suite E, Liverpool, NY 13088-4868
Phone: 3154107400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02966690 05

Office Location

Street Address 5112 W TAFT RD
SUITE E
City LIVERPOOL
State NY
Zip Code 13088-4868

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265488563 Syracuse Asc, LLC Clinic/Center 225 Greenfield Pkwy, Suite 105, Liverpool, NY 13088-6666 2006-05-26

Providers in the same taxonomy and state

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
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Competitor

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City LIVERPOOL
Zip Code 13088

Improve Information

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Dataset Information

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.

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