SHAILAJA POTDAR (NPI# 1992714117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992714117 |
Entity Type | Individual |
Full Name | SHAILAJA POTDAR |
Credential | MD |
Practice Address |
603 Oswego St Syracuse NY 13204-3127 |
Practice Telephone | 3154240800 |
Mailing Telephone | 3154240800 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2013-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 196775 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01769942 | 05 | |
RR | 370008549 | 01 |
Street Address |
603 OSWEGO ST |
City | SYRACUSE |
State | NY |
Zip Code | 13204-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679827141 | Linda N Runge | Dental Hygienist | 603 Oswego St, Syracuse, NY 13204-3127 | 2012-11-05 |
1538321344 | Syracuse Community Health Center Inc. | Clinic/Center | 603 Oswego St, Syracuse, NY 13204-3127 | 2008-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
Find all providers in zip 13204 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386194967 | Diane B Montgomery | Pediatrics | 1045 James St Ste 270, Syracuse, NY 13203-2791 | 2016-10-07 |
1285995324 | Jenica O'malley | Pediatrics | 90 Presidental Plaza 3rd Fl, Syracuse, NY 13202 | 2012-06-05 |
1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
1760700108 | Christopher John Prendergast | Pediatrics | 725 Irving Ave Ste 804, Syracuse, NY 13210-1682 | 2010-05-10 |
1407007628 | Ahmad Ismail El Samra | Pediatrics | 600 James St, Apt 603, Syracuse, NY 13203-2254 | 2008-10-07 |
1235347915 | Frederick Goldberg | Pediatrics | Community General Hospital, 4900 Broad Road, Syracuse, NY 13215 | 2007-05-18 |
1679780308 | Juanita M Welnicki | Pediatrics | 5062 Skyline Dr, Syracuse, NY 13215-2444 | 2007-05-16 |
1801985262 | Nicholas T Massa | Pediatrics | 475 Irving Ave Ste 210, Syracuse, NY 13210-1529 | 2006-10-12 |
1801828785 | Deborah Ann Goldman | Pediatrics | 720 Irving Ave, Suite 504, Upstate Medical University, Syracuse, NY 13210 | 2006-07-07 |
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.