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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | NY | Allopathic & Osteopathic Physicians |
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 |
Street Address |
475 IRVING AVE SUITE 200 |
City | SYRACUSE |
State | NY |
Zip Code | 13210 |
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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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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.