JOHN P DESIMONE (NPI# 1548288988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548288988 |
| Entity Type | Individual |
| Full Name | JOHN P DESIMONE |
| Credential | MD |
| Practice Address |
475 Irving Ave Ste 300 Syracuse NY 13210-1528 |
| Practice Telephone | 3154644686 |
| Practice Fax Number | 3154647106 |
| Mailing Telephone | 3154644686 |
| Mailing Fax Number | 3154647106 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 104285 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4216626 | 01 | |
| NY | 00482453 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972007615 | John Anthony Desimone Ix | Pharmacist | 11721 Telegraph Rd Ste Uniti, Santa Fe Springs, CA 90670-3674 | 2018-03-19 |
| 1336681022 | John Desimone | Hearing Instrument Specialist | 850 W Chester Pike, Havertown, PA 19083-4400 | 2016-11-10 |
| 1982889168 | John Desimone | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2008-01-07 |
| 1154408938 | John W. Desimone | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2006-11-01 |
| 1780682740 | John V Desimone | Emergency Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-13 |
| Street Address |
475 IRVING AVE STE 300 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1528 |
| 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 |
| 1073988911 | Upstate Family and Preventive Medicine, Inc | Family Medicine | 475 Irving Ave, Suite 200, Syracuse, NY 13210 | 2015-12-03 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
| Find all providers in SYRACUSE | ||||
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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.