JI YOON BAEK (NPI# 1750814810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750814810 |
| Entity Type | Individual |
| Full Name | JI YOON BAEK |
| Credential | M.D. |
| Practice Address |
750 East Adams Street, Rm 1816 Suny Upstate University Hospital Syracuse NY 13210 |
| Practice Telephone | 3154645240 |
| Mailing Telephone | 3154645240 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
750 EAST ADAMS STREET, RM 1816 SUNY UPSTATE UNIVERSITY HOSPITAL |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104358605 | Lauren Beck | Student in an Organized Health Care Education/Training Program | 750 East Adams Street, Rm 1816, Suny Upstate University Hospital, Syracuse, NY 13210 | 2017-04-03 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475136 | Joan Sequeira | Student in an Organized Health Care Education/Training Program | 300 Audubon Pkwy Apt 95, Syracuse, NY 13224-1245 | 2020-10-26 |
| 1134728686 | Sarah Grube | Student in an Organized Health Care Education/Training Program | 5599 Thompson Rd Apt A8, Syracuse, NY 13214-1667 | 2020-10-25 |
| 1669070413 | Sarah Lynn Olszewski | Student in an Organized Health Care Education/Training Program | 451 Bryant Ave, Syracuse, NY 13204-2505 | 2020-10-14 |
| 1689281370 | Ashley Summerton | Student in an Organized Health Care Education/Training Program | 721 N Clinton St Apt 315, Syracuse, NY 13204-1255 | 2020-09-26 |
| 1811503055 | Matthew Vincent Morales I | Student in an Organized Health Care Education/Training Program | 904 Westcott St, Syracuse, NY 13210-2508 | 2020-09-22 |
| 1043826282 | Alex J Zwierzynski | Student in an Organized Health Care Education/Training Program | 172 Greenland Dr, Syracuse, NY 13208-3057 | 2020-09-22 |
| 1528674934 | Nicole Kaczor | Student in an Organized Health Care Education/Training Program | 200 Croyden Rd, Syracuse, NY 13224-1935 | 2020-09-21 |
| 1043826480 | Faustin M. Bahizi | Student in an Organized Health Care Education/Training Program | 926 Maryland Ave, Syracuse, NY 13210-2504 | 2020-09-21 |
| 1306452743 | Samantha Elizabeth Monaco | Student in an Organized Health Care Education/Training Program | 1420 Salt Springs Rd, Syracuse, NY 13214-1434 | 2020-09-21 |
| 1528686557 | Siofra Murphy | Student in an Organized Health Care Education/Training Program | 4900 Broad Rd Ste 3m, Syracuse, NY 13215-2265 | 2020-07-07 |
| 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.