TRACY ELIZABETH SUDORE (NPI# 1437314440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437314440 |
| Entity Type | Individual |
| Full Name | TRACY ELIZABETH SUDORE |
| Credential | MD |
| Practice Address |
5100 West Taft Rd Ste 2e Liverpool NY 13088 |
| Mailing Address |
5100 W Taft Rd Ste 2e Liverpool NY 13088-3807 |
| Practice Telephone | 3156343399 |
| Practice Fax Number | 3156343395 |
| Mailing Telephone | 3156343399 |
| Mailing Fax Number | 3156343395 |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2013-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 241964-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5100 WEST TAFT RD STE 2E |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689772717 | Cny Thoracic Surgery PC | Specialist | 5100 West Taft Rd, Ste 2e, Liverpool, NY 13088 | 2006-09-20 |
| 1356653729 | Shain L Wallis | Radiology | 5100 West Taft Rd, Ste 2a, Liverpool, NY 13088 | 2010-07-13 |
| 1992877591 | Yana Popilevskaya | Physician Assistant | 5100 West Taft Rd, Ste 2e, Liverpool, NY 13088 | 2006-11-15 |
| 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 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958898 | Carol Melinda Stevens | Surgery | 5100 West Taft Road., Suite 2e, Liverpool, NY 13088 | 2008-07-09 |
| 1730248022 | Colon Rectal Associates of Cny, LLP | Surgery | 5100 W Taft Rd Ste 4a, Liverpool, NY 13088-3810 | 2006-12-06 |
| 1093886806 | Isaac E Levy | Surgery | 5112 West Taft Rd, Liverpool, NY 13088 | 2006-11-13 |
| 1073572343 | Jacqueline K Bays | Surgery | 5100 West Taft Road, Suite 2e, Liverpool, NY 13088 | 2006-03-23 |
| 1497051643 | Evan M. Dentes, M.d., P.C. | Surgery | 5100 W Taft Rd, Suite 2q, Liverpool, NY 13088-3807 | 2011-02-07 |
| 1730321894 | Travis Paul Webb | Surgery | 5100 W Taft Rd, Suite 2e, Liverpool, NY 13088-3807 | 2009-04-03 |
| 1841491099 | Theresa Wendel Ruddy | Surgery | 5100 W Taft Rd Ste 4a, Liverpool, NY 13088-3810 | 2007-05-29 |
| 1508965187 | Margaret Plocek | Surgery | 5100 W Taft Rd, Suite 4a, Liverpool, NY 13088 | 2006-09-21 |
| 1972600484 | David Ros Halleran | Surgery | 5100 W Taft Rd, Suite 4a, Liverpool, NY 13088 | 2006-09-19 |
| 1881791390 | David Americo Nesbitt | Surgery | 5100 W Taft Rd, Suite 4a, Liverpool, NY 13088 | 2006-09-19 |
| Find all providers in LIVERPOOL | ||||
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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.