SYRACUSE VA MEDICAL CENTER (NPI# 1659389518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659389518 |
| Entity Type | Organization |
| Organization Name | SYRACUSE VA MEDICAL CENTER |
| Practice Address |
800 Irving Ave Syracuse NY 13210-2716 |
| Mailing Address |
123 W Cayuga St Oswego NY 13126-1449 |
| Practice Telephone | 3154252613 |
| Mailing Telephone | 3153425369 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANNE COLLEEN MCHALE (ANP) |
| Authorized Official Telephone | 3154252613 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | F301833 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083781009 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Avenue Bvac 116, Syracuse Va Medical Center, Syracuse, NY 13210-2716 | 2006-11-29 |
| 1003901570 | Syracuse Va Medical Center | Rehabilitation Unit | 800 Irving Ave, Syracuse, NY 13204 | 2006-10-03 |
| 1427153220 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Bvac (116), Syracuse, NY 13210-2716 | 2006-09-14 |
| 1609896786 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-07-20 |
| 1588682108 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-07-18 |
| 1366469389 | Syracuse Va Medical Center | General Acute Care Hospital | 1031 E Fayette St, Syracuse, NY 13210-1022 | 2006-07-16 |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1306458229 | Benjamin Robert Bratek | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-08-21 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1295386753 | Judith Kenific | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-26 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
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| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740443548 | Department of Medicine | Military Hospital | 550 Harrison St, Suite 200, Syracuse, NY 13202-3188 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225499023 | Gloria M Claverol-sedita | Military Hospital | 95 76th St, Brooklyn, NY 11209-2901 | 2016-03-08 |
| 1497048151 | United States Marine Corps | Military Hospital | 2488 Grand Concourse Rm 204, Bronx, NY 10458-5207 | 2011-05-26 |
| 1861844011 | Desary Hercules-francois | Military Hospital | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2016-07-11 |
| 1285042275 | Aubrey Dailey | Military Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-07-23 |
| 1053753657 | Eugene Gersh | Military Hospital | 208 E Broadway, 104j, New York, NY 10002-5526 | 2013-07-24 |
| 1326301805 | Va Ny Harbor | Military Hospital | 800 Poly Place, Brooklyn, NY 11209 | 2012-06-20 |
| 1528211265 | Lynda Marie Page | Military Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2008-10-28 |
| 1831391044 | Robert M. Glickman | Military Hospital | 423 East 23rd Street, New York, New York, NY 10010 | 2007-06-01 |
| 1346460599 | Va Bronx | Military Hospital | 130 W Kingsbridge Rd, Va Bronx, Bronx, NY 10468-3904 | 2007-04-30 |
| 1578658860 | James Peters Veteran Medical Center | Military Hospital | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-10-04 |
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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.