SAMUEL S BADALIAN (NPI# 1407848906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407848906 |
| Entity Type | Individual |
| Full Name | SAMUEL S BADALIAN |
| Credential | M.D., PH.D. |
| Practice Address |
104 Union Ave Suite 803 Syracuse NY 13203 |
| Practice Telephone | 3157015757 |
| Practice Fax Number | 3154768519 |
| Mailing Telephone | 3157015757 |
| Mailing Fax Number | 3154768519 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2014-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
211964 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01869130 | 05 | |
| NY | 01923284 | 05 |
| Street Address |
104 UNION AVE SUITE 803 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902095086 | Samuel S. Badalian Md PC | Obstetrics & Gynecology | 104 Union Ave, Suite 803, Syracuse, NY 13203-0000 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629469507 | Anna Romanova | Obstetrics & Gynecology | 1176 5th Ave Fl 9, New York, NY 10029-6503 | 2015-02-12 |
| 1932531340 | Emil Gurshumov Medical P.C. | Obstetrics & Gynecology | 2265 Ocean Pkwy, Apt 2b, Brooklyn, NY 11223-5149 | 2013-08-08 |
| 1215281910 | Mount Sinai School of Medicine | Obstetrics & Gynecology | 8268 164th St Rm B265, Jamaica, NY 11432-1121 | 2012-11-01 |
| 1578839676 | Ann Tran | Obstetrics & Gynecology | 27 Barker Ave Apt 404, White Plains, NY 10601-1559 | 2012-03-23 |
| 1760775498 | Toy Gee Lee | Obstetrics & Gynecology | 601 Elmwood Ave Box 668, Rochester, NY 14642-0001 | 2011-05-27 |
| 1063746840 | Chandhana Paka | Obstetrics & Gynecology | 425 W 59th St # 4b, New York, NY 10019-8022 | 2009-09-25 |
| 1881891661 | Tirsit Shiferaw Asfaw | Obstetrics & Gynecology | 525 E 68th St # J130, New York, NY 10065-4870 | 2007-06-27 |
| 1790771657 | Soo Yun Kwon | Obstetrics & Gynecology | 9525 Queens Blvd Ste A, Rego Park, NY 11374-4511 | 2005-09-26 |
| 1104827583 | Anne Hardart | Obstetrics & Gynecology | 425 West 59th Street, Suite 9b, New York, NY 10019-1104 | 2005-08-09 |
| 1578564266 | Lisa Dabney | Obstetrics & Gynecology | 425 W 59th St Ste 5d, Obgyn Associates of Slr, New York, NY 10019-8022 | 2005-08-03 |
| 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.