UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC


Address: 475 Irving Ave, Suite 200, Syracuse, NY 13210
Phone: 3154644686

UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC (NPI# 1073988911) 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) 1073988911
Entity Type Organization
Organization Name UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC
Practice Address 475 Irving Ave
Suite 200
Syracuse
NY 13210
Mailing Address 251 Salina Meadows Pkwy
Suite 100
Syracuse
NY 13212
Practice Telephone 3154644686
Practice Fax Number 3154647106
Mailing Telephone 3154642014
Enumeration Date 2015-12-03
Last Update Date 2015-12-04
Authorized Official Name JOHN EPLING (CHAIRMAN)
Authorized Official Telephone 3154644686
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine NY Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC. Upstate Medical University, Suite 300, 475 Irving Avenue, Syracuse, New York 13210

Office Location

Street Address 475 IRVING AVE
SUITE 200
City SYRACUSE
State NY
Zip Code 13210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041286 Loftus, Ryu & Bartol Md's PC Specialist 475 Irving Ave, Ste 108, Syracuse, NY 13210-1691 2005-05-24
1487041034 Molly Lizzio Marriage & Family Therapist 475 Irving Ave, 410, Syracuse, NY 13210-1756 2015-04-22
1356734362 Kimberly Ann Oakes Marriage & Family Therapist 475 Irving Ave, Suite 410, Syracuse, NY 13210-1756 2015-03-16
1316342991 Cny Dental Arts Pllc Dentist 475 Irving Ave, Suite 110, Syracuse, NY 13210-1757 2014-10-25
1285059865 Southern New York Neurosurgical Group Specialist 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756 2014-02-19
1538500152 Crouse Medical Practice Pllc Durable Medical Equipment & Medical Supplies 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756 2013-07-11
1245678291 Allison Grace Roy Obstetrics & Gynecology 475 Irving Ave, Ste 204, Syracuse, NY 13210 2013-06-12
1023369329 Lawrence Cecchi Md PC Ophthalmology 475 Irving Ave, Ste 420, Syracuse, NY 13210-1756 2012-09-26
1184971897 Beth Houck Md LLC Obstetrics & Gynecology 475 Irving Ave, Suite 406, Syracuse, NY 13210-1756 2012-08-13
1790044105 Kara Repich Obstetrics & Gynecology 475 Irving Ave, Suite 108, Syracuse, NY 13210-1756 2012-05-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104451848 Gianna of Syracuse Medical Pllc Family Medicine 127 Chapel Dr., Syracuse, NY 13219-1919 2020-03-03
1235616210 Shelby Lynn Sharp Family Medicine 90 Presidential Plz Ste 5010, Syracuse, NY 13202-2240 2018-07-23
1245471705 Ihc Health Services Inc Family Medicine 745 South 2000 West, Syracuse, UT 84075 2009-03-13
1891932596 Marc Iqbal Family Medicine 5606 Bear Rd, Syracuse, NY 13212-1648 2009-01-16
1205073483 Paul Peter Stobnicke Family Medicine 504 Winkworth Pkwy, Syracuse, NY 13215-1554 2009-01-09
1700070216 Douglas Ahn Md Pllc Family Medicine 739 Irving Ave Ste 510, Syracuse, NY 13210-1663 2007-08-29
1114133402 Maryellen Cathleen Lewis Family Medicine 216 Seymour St, Syracuse, NY 13204-3208 2007-05-15
1346320140 Jack Prow Clark Family Medicine 518 Ems D15 Ln, Syracuse, IN 46567-8026 2006-10-16
1457445744 Frank Raymond Sharf Family Medicine 745 S 2000 W, Syracuse, UT 84075-9621 2006-10-03
1740392927 Warsaw Health System, LLC Family Medicine 808 S Huntington St, Syracuse, IN 46567-1810 2006-08-31
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13210

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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