MATTHEW G CHAFFIN (NPI# 1629154653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154653 |
| Entity Type | Individual |
| Full Name | MATTHEW G CHAFFIN |
| Credential | M.D. |
| Practice Address |
1304 Buckley Road Syracuse NY 13212 |
| Practice Telephone | 3154783311 |
| Practice Fax Number | 3154260796 |
| Mailing Telephone | 3154783311 |
| Mailing Fax Number | 3154260796 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
238054-01 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTHNOW | 000928684001 | 01 |
| NY | 2699049 | 05 | |
| NY | AETNA | 5771741 | 01 |
| NY | FIDELIS | 060214000032 | 01 |
| NY | UNITED HEALTHCARE | 2032464 | 01 |
| NY | MVP | 796631 | 01 |
| Street Address |
1304 BUCKLEY ROAD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
| 1407019730 | Antoine Azar | Internal Medicine | 1304 Buckley Road, Suite 200, Syracuse, NY 13212-4317 | 2008-07-07 |
| 1164614962 | Jacquelyn Anne Spencer | Nurse Practitioner | 1304 Buckley Road, Suite 200, Syracuse, NY 13212-4311 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845749 | Branches of Growth Mental Health Counseling, Pllc | Counselor | 3709 Brewerton Rd, Syracruse, NY 13212 | 2019-01-24 |
| 1821574070 | Nadia Marie James | Licensed Practical Nurse | 7175 Rose Wood Circle, North Syracuse, NY 13212 | 2018-07-11 |
| 1306364534 | Shonna Jolene Brodhead | Social Worker | Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 | 2017-09-08 |
| 1477915189 | Karen Filapello | Speech-Language Pathologist | 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 | 2016-03-22 |
| 1285017095 | Lacey Foster | Skilled Nursing Facility | 5991 East Taft Rd, North Syracuse, NY 13212 | 2015-06-30 |
| 1346500345 | Wahienhawi Hall | Counselor | 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 | 2012-05-23 |
| 1316253768 | Jenny Barnum | Nurse Practitioner | 5232 Witz Dr, North Syracuse, NY 13212 | 2010-08-24 |
| 1063738797 | Gregory 'greg' Procopio | Registered Nurse | 308 Charlane Parkway, North Syracuse, NY 13212 | 2010-04-20 |
| 1316142243 | Carrie Marie Vincent | Specialist | 401north Main Street, North Syracuse, NY 13212 | 2007-06-20 |
| 1245307594 | Lynda Robin Kreitzer | Podiatrist | 316 South Main Street, North Syracuse, NY 13212 | 2006-11-30 |
| Find all providers in zip 13212 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1801203898 | Syed Hassan Raza Bukhari | Internal Medicine | 750 E Adams St # 343, Syracuse, NY 13210-2306 | 2014-07-22 |
| 1881113488 | Joanna Angela Woodruff | Internal Medicine | 1304 Buckley Rd Ste 200, Syracuse, NY 13212-4317 | 2017-09-14 |
| 1922409671 | Suthaharan Vimalendran | Internal Medicine | 6846 Buckley Road, Syracuse, NY 13212-4264 | 2014-09-12 |
| 1932525425 | Alia Hasan | Internal Medicine | 800 Irving Ave, Syracuse, NY 13210-2716 | 2014-03-09 |
| 1316235583 | Vikram Aggarwal | Internal Medicine | 750 E Adams St, Room 343 Cwb, Syracuse, NY 13210-2306 | 2011-07-21 |
| 1104057751 | Eric K. Ofori | Internal Medicine | 301 Prospect Avenue, Syracuse, NY 13203 | 2009-07-30 |
| 1407019730 | Antoine Azar | Internal Medicine | 1304 Buckley Road, Suite 200, Syracuse, NY 13212-4317 | 2008-07-07 |
| 1831276823 | Nephrology Associates of Syracuse, P.C. | Internal Medicine | 1304 Buckley Rd, Syracuse, NY 13212-4302 | 2006-11-01 |
| 1760584411 | Bala K Murthy | Internal Medicine | 1304 Buckley Rd, Syracuse, NY 13212-4311 | 2006-09-02 |
| 1578593968 | Steven J Scheinman | Internal Medicine | 90 Presidential Plz, Firm C, Syracuse, NY 13202-2240 | 2006-07-03 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on MATTHEW G CHAFFIN.
| 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.