MICHAEL DAVID RUTKOWSKI (NPI# 1568495380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568495380 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID RUTKOWSKI |
| Credential | MD. |
| Practice Address |
104 Union Avenue Suite 806-807 Syracuse NY 13203 |
| Mailing Address |
5112 West Taft Road Suite L Liverpool NY 13088 |
| Practice Telephone | 3154740542 |
| Practice Fax Number | 3154744340 |
| Mailing Telephone | 3154522500 |
| Mailing Fax Number | 3154522510 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 177347 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01129799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043665888 | Michael Rutkowski | Behavioral Analyst | 71-64 168th Street, Flushing, NY 11365 | 2016-04-29 |
| Street Address |
104 UNION AVENUE SUITE 806-807 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437290913 | Nahed S. Iskander | Internal Medicine | 104 Union Avenue, Suite 806-807, Syracuse, NY 13203 | 2007-02-09 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1245551506 | Caitlin Elizabeth Toomey | Internal Medicine | 90 Presidential Plz Fl 2, Syracuse, NY 13202-2240 | 2010-06-21 |
| 1023245313 | Tanya M George | Internal Medicine | 750 E Adams St - Department of Internal Medicine, Department of Internal Medicine, Syracuse, NY 13210-2342 | 2009-06-15 |
| 1740414853 | Richard Walter Weiskopf | Internal Medicine | 259 East Onondaga St., Amaus Health Services At Cathedral, Syracuse, NY 13202 | 2009-05-05 |
| 1952585838 | Indu Gupta | Internal Medicine | 421 Montgomery St. Onondaga County Health Department, John H. Mulroy Civic Center 9th Floor, Syracuse, NY 13202 | 2007-12-27 |
| 1871783969 | Berton R Shayevitz | Internal Medicine | Ima, 518 James Street, Syracuse, NY 13203 | 2007-07-26 |
| 1831318799 | Abha Harish | Internal Medicine | 550 Harrison St Ste I, Syracuse, NY 13202-3188 | 2007-04-25 |
| 1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
| 1154482339 | Stephen J Thomas | Internal Medicine | 725 Irving Avenue, Suite 314, Syracuse, NY 13210 | 2006-12-12 |
| 1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
| 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.