ANDRES M MADISSOO (NPI# 1770570517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770570517 |
| Entity Type | Individual |
| Full Name | ANDRES M MADISSOO |
| Credential | M.D. |
| Practice Address |
1226 E Water St Syracuse NY 13210-1155 |
| Practice Telephone | 3154784185 |
| Practice Fax Number | 3154780840 |
| Mailing Telephone | 3154784185 |
| Mailing Fax Number | 3154780840 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 203934 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02084128 | 05 |
| Street Address |
1226 E WATER ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868936 | Yijun Yang | Pathology | 1226 E Water St, Syracuse, NY 13210-1155 | 2005-08-15 |
| 1699303065 | Jacob Becher | Physician Assistant | 1226 E Water St, Syracuse, NY 13210-1155 | 2020-03-31 |
| 1962054106 | Melissa Lynn Rogers | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2019-07-09 |
| 1437637881 | Gaetane Bellamy | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2018-07-29 |
| 1518489160 | Morgan Brittany Rowe | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2017-07-14 |
| 1285018085 | Erin Sanderson | Physician Assistant | 1226 E Water St, Syracuse, NY 13210-1155 | 2015-07-13 |
| 1992104533 | Sarah Naomi Cote | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2014-08-20 |
| 1962820977 | Ilija Aleksic | Urology | 1226 E Water St, Syracuse, NY 13210 | 2014-04-07 |
| 1265791511 | Hadley Whissel Narins | Urology | 1226 E Water St, Syracuse, NY 13210-1155 | 2012-05-08 |
| 1023349206 | Diana A Dimitrov | Pathology | 1226 E Water St, Syracuse, NY 13210-1155 | 2010-01-27 |
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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 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962745133 | Jeffrey Villanueva | Urology | 725 Irvig Ave, Suite 403, Syracuse, NY 13210-2306 | 2013-04-05 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1245530484 | Natasha Ginzburg | Urology | 750 East Adams, Syracuse, NY 13210-2306 | 2010-10-21 |
| 1629241864 | Associated Medical Professionals of Ny, Pllc | Urology | 4900 Broad Road Suite 3k, Community General Hospital Pob Building North, Syracuse, NY 13215 | 2008-04-09 |
| 1144338336 | Giora Katz | Urology | 550 Harrison St., Suite M, Syracuse, NY 13202 | 2006-08-28 |
| 1245296524 | J C Trussell | Urology | 750 East Adams Street, Upstate University Hospital, Syracuse, NY 13210 | 2006-04-25 |
| 1811992985 | Kenneth E Hoogs | Urology | 100 Intrepid Ln, Syracuse, NY 13205-2546 | 2005-06-16 |
| 1548789662 | Sergey Kravchick | Urology | 750 East Adams Street, Department of Urology Suny Upstate Medical University, Syracuse, NY 13210 | 2017-09-11 |
| 1962820977 | Ilija Aleksic | Urology | 1226 E Water St, Syracuse, NY 13210 | 2014-04-07 |
| 1598028466 | Scott V Wiener | Urology | 4900 Broad Road, Suite 4v, Syracuse, NY 13215 | 2012-06-16 |
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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.