SHAILAJA POTDAR


Address: 603 Oswego St, Syracuse, NY 13204-3127
Phone: 3154240800

SHAILAJA POTDAR (NPI# 1992714117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 196775 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01769942 05
RR 370008549 01

Office Location

Street Address 603 OSWEGO ST
City SYRACUSE
State NY
Zip Code 13204-3127

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SYRACUSE
Zip Code 13204

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Dataset Information

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.

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