DR. TRISTAN DONALD PETRIE (NPI# 1548604507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548604507 |
| Entity Type | Individual |
| Full Name | DR. TRISTAN DONALD PETRIE |
| Credential | MD |
| Practice Address |
739 Irving Ave Ste 500 Syracuse NY 13210-1664 |
| Practice Telephone | 3154707409 |
| Practice Fax Number | 3154752357 |
| Mailing Telephone | 3154707409 |
| Mailing Fax Number | 3154752357 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
285711 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Northern Blvd, Albany, NY 122041004 | 5184713221 | |
| 2215 Burdett Ave, Troy, NY 121802466 | 5182713300 |
| Street Address |
739 IRVING AVE STE 500 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679547392 | Jeanne E Pietrzak | Nurse Practitioner | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2006-02-17 |
| 1568944650 | Lindsey Therese Oltz | Physician Assistant | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2018-09-05 |
| 1104312461 | Maggie M Towles | Nurse Practitioner | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2018-07-10 |
| 1083978993 | Erin E. Bahamonde | Nurse Practitioner | 739 Irving Ave Ste 500, Syracuse, NY 13210 | 2012-06-26 |
| 1467743484 | Joshua Walter Harrison | Internal Medicine | 739 Irving Ave Ste 500, Syracuse, NY 13210 | 2011-04-25 |
| 1659660710 | Charles Albert Miller | Internal Medicine | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2011-03-29 |
| 1750539482 | John Mathew Ulahannan | Internal Medicine | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2008-09-06 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194909622 | Traian Marian Anghel | Internal Medicine | 716 James Street, Suite 106, Syracuse, NY 13203 | 2007-12-19 |
| 1417174731 | Willard - Cohen | Internal Medicine | 119 Cherry Hl, Syracuse, NY 13214-2303 | 2007-04-19 |
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1578978326 | Tarek Ibrahim | Internal Medicine | 750 E Adams St, Dept of Internal Medicine, Syracuse, NY 13210-2306 | 2014-06-30 |
| 1801150339 | Arbind Chaudhary | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-1834 | 2012-06-29 |
| 1467743484 | Joshua Walter Harrison | Internal Medicine | 739 Irving Ave Ste 500, Syracuse, NY 13210 | 2011-04-25 |
| 1659609006 | Fafa Komla Xexemeku | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2009-11-23 |
| 1861720484 | David T. Nash, M.d. P.C. | Internal Medicine | 600 E Genesee St, Presidential Plaza, Suite 204, Syracuse, NY 13202-3130 | 2009-11-19 |
| 1750539482 | John Mathew Ulahannan | Internal Medicine | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2008-09-06 |
| 1427204221 | Avneet Singh | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-08-12 |
| 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.