MR. GERALD ALLEN WILLSEY (NPI# 1881808459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881808459 |
| Entity Type | Individual |
| Full Name | MR. GERALD ALLEN WILLSEY |
| Credential | PA |
| Practice Address |
736 Irving Ave Emergency Services Office Syracuse NY 13210-1687 |
| Mailing Address |
4159 Griffin Rd Syracuse NY 13215-9718 |
| Practice Telephone | 3154707308 |
| Practice Fax Number | 3154702693 |
| Mailing Telephone | 3155751936 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 000345-1 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | REGISTRATION | 000345-1 | 01 |
| Street Address |
736 IRVING AVE EMERGENCY SERVICES OFFICE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1417555079 | Drake Kingdon Burgess | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1457975567 | Clare Murphy | Speech-Language Pathologist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-04 |
| 1609498062 | Christopher James Limoncelli | Physical Therapist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-05-08 |
| 1265060016 | Amanda Lynn Webb | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-03-28 |
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
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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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043331937 | Crouse Hospital | General Acute Care Hospital | Crouse Hospital, 736 Irving Ave., Syracuse, NY 13210 | 2007-04-02 |
| 1912034554 | Janet Mark | General Acute Care Hospital | 410 S Crouse Ave, Syracuse, NY 13210-1799 | 2007-02-28 |
| 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 |
| 1851485759 | Upstate Medical Anesthesiology Group, Inc. | General Acute Care Hospital | 750 East Adams Str, Suite 4143, Syracuse, NY 13210 | 2006-10-03 |
| 1447609102 | Upstate University Hospital | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-06-03 |
| 1073987798 | Patricia Ryan | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-11-18 |
| 1871914465 | Alina Basnet | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-1834 | 2013-12-27 |
| 1972872505 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Avenue, Syracuse, NY 13203-1898 | 2011-12-28 |
| 1447537600 | Syracuse Vamc | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2011-11-15 |
| 1063702785 | Upstate Medical University | General Acute Care Hospital | 750 E Adams St, Suite 2104, Syracuse, NY 13210-2342 | 2011-04-14 |
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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.