JACK TIFFANY (NPI# 1326165952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326165952 |
| Entity Type | Individual |
| Full Name | JACK TIFFANY |
| Credential | PAC |
| Practice Address |
961 Canal St Industrial Medical Associates Syracuse NY 13210 |
| Practice Telephone | 3154781977 |
| Practice Fax Number | 3154752909 |
| Mailing Telephone | 3154781977 |
| Mailing Fax Number | 3154752909 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
0038441 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
961 CANAL ST INDUSTRIAL MEDICAL ASSOCIATES |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081771 | Richard R Wayne | Physical Medicine & Rehabilitation | 961 Canal St, Syracuse, NY 13210-1203 | 2005-05-23 |
| 1023554417 | Wellnow Urgent Care, PC | Clinic/Center | 961 Canal St, Syracuse, NY 13210-1203 | 2017-01-10 |
| 1225402779 | Jcr Medicine Canal Street Pllc | Internal Medicine | 961 Canal St, Syracuse, NY 13210-1203 | 2015-11-20 |
| 1750642088 | Jennifer Leigh Nicolette | Nurse Practitioner | 961 Canal St, Syracuse, NY 13210 | 2012-06-04 |
| 1033237292 | Brenda A Geloff | Physician Assistant | 961 Canal St, Industrial Medical Associates, Syracuse, NY 13210-1287 | 2007-03-27 |
| 1174605000 | Patrick William Forget | Physical Therapist | 961 Canal St, Syracuse, NY 13210-1203 | 2006-10-19 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326288101 | Michael A Wolfson | Preventive Medicine | 627 Bradford Pkwy, Syracuse, NY 13224-2001 | 2009-03-06 |
| 1457479560 | Ivan L Wolf | Preventive Medicine | 961 Canal Street, Syracuse, NY 13210-1287 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969057 | Shaneabbas Hasnain Dharsi | Preventive Medicine | Jfk International Airport Building 14, Citimedical-medport, Jamaica, NY 11430 | 2018-10-26 |
| 1740775840 | Harry A Levy | Preventive Medicine | 27 W 96th St Apt 10d, New York, NY 10025-6525 | 2018-06-30 |
| 1073879953 | John F. Masloski | Preventive Medicine | 2134 Quaker Ridge Rd, Croton-on-hudson, NY 10520 | 2012-04-05 |
| 1356624266 | Arnold Kaminer | Preventive Medicine | 100 Ralph Ave, White Plains, NY 10606-3609 | 2011-09-27 |
| 1548557366 | Steven A. Osadca | Preventive Medicine | 3121 Clinton St, Suite #6, West Seneca, NY 14224-1375 | 2011-06-30 |
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1275864159 | Su Chong Choe-baek | Preventive Medicine | 3330 61st St, #402, Woodside, NY 11377-2234 | 2010-01-17 |
| 1831322577 | Peter Dmytri Olenen | Preventive Medicine | 486 S Plank Rd, Westtown, NY 10998-2807 | 2009-08-28 |
| 1114186475 | Elena Dolginova | Preventive Medicine | 10b Madison Ave, Albany, NY 12203 | 2008-06-03 |
| 1437321569 | Cristina Andusa Demian-popescu | Preventive Medicine | 400 White Spruce Blvd., Suite B, Rochester, NY 14623 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
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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.