NORTH SHORE MEDICAL GROUP PLLC


Address: 311 Skyview Ter, Syracuse, NY 13219-2835
Phone: 3159351154

NORTH SHORE MEDICAL GROUP PLLC (NPI# 1487252581) 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) 1487252581
Entity Type Organization
Organization Name NORTH SHORE MEDICAL GROUP PLLC
Practice Address 311 Skyview Ter
Syracuse
NY 13219-2835
Practice Telephone 3159351154
Practice Fax Number 9522092012
Mailing Telephone 3159351154
Mailing Fax Number 9522092012
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Authorized Official Name JOSHU COPPOLA (PA)
Authorized Official Telephone 3152896300
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 311 SKYVIEW TER
City SYRACUSE
State NY
Zip Code 13219-2835

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972155125 Claire A Conroy Registered Nurse Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 2019-07-09
1699339242 Gia Ruffini Licensed Practical Nurse 212 South Terry Rd., Syracuse, NY 13219 2019-04-30
1629549373 Amy Elisabeth Steigerwald Registered Nurse 400 Walberta Rd., Syracuse, NY 13219 2018-12-06
1073007670 Bryan D. O'neil Optometrist 4109 W Genesee St Ste 100, Syracuse, NY 13219 2018-06-18
1801279732 Podiatry Services of Central New York, PC Podiatrist 4623 Onondaga Blvd., Syracuse, NY 13219 2015-07-09
1699118893 Christine Anne Marshall Licensed Practical Nurse 1604 West High Terrace, Syracuse, NY 13219 2013-04-08
1447596515 Mary Lou Karrat Social Worker 4336 Fay Road, Syracuse, NY 13219 2012-12-18
1801193636 America's Best Contacts & Eyeglasses Technician/Technologist 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 2011-02-14
1053616904 Ranz Consulting Goup Preferred Provider Organization 104 Watchower Ln, Syracuse, NY 13219 2011-01-24
1003123480 Lisa Marie Searles Occupational Therapist 110 Elmtree Lane, Syracuse, NY 13219 2010-09-08
Find all providers in zip 13219

Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235129933 Roy A Smith Family Medicine 819 S Salina St, Syracuse, NY 13202-3527 2005-10-24
1104054519 Lynn A O'donnell Family Medicine 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 2009-06-24
1770593360 John F Finkenstadt Family Medicine 475 Irving Ave, Suite 402, Syracuse, NY 13210-1756 2006-08-08
1770574600 Kathryn C Fell Family Medicine 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1892 2005-10-31
1174510267 Ramon Brugada Family Medicine 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1892 2005-10-04
1902893126 Judith B Dyne Family Medicine 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1892 2005-10-03
1750377479 Kathryn Cooper Family Medicine 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1892 2005-09-27
1003802786 Amy Elizabeth Roy Family Medicine 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 2005-09-27
1023004702 Andrew Paul Aiken Family Medicine 800 Irving Ave, Va Medical Center Outpatient Cardiology, Syracuse, NY 13210-2716 2005-09-27
1649266800 John N Jessup Family Medicine 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 2005-09-23
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13219

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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