Matthew S Peckham (NPI# 1144580127, PAC ID# 3971801754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144580127 |
| PAC ID by PECOS | 3971801754 |
| Professional Enrollment ID | I20180821001725 |
| Full Name | Matthew S Peckham |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Address |
736 Irving Ave Syracuse NY 13210-1687 |
| Phone Number | 3154707551 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850387648 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| 330203 | CROUSE HOSPITAL |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 5008 Brittonfield Pkwy, Suite 100, E Syracuse, NY 13057-9248 | 3152347600 | MEDICAL IMAGING CENTER LLP |
| 5100 W Taft Rd, Suite 1a, Liverpool, NY 13088-3808 | 3154522525 | MAGNETIC DIAGNOSTIC RESOURCES OF CENTRAL NEW YORK LLP |
| 736 Irving Ave, Syracuse, NY 13210-1687 | 3154707551 | CROUSE RADIOLOGY ASSOCIATES LLP |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas K Chacko | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| James W Sherwood | Diagnostic Radiology | Crouse Radiology Associates LLP | 3858 State Route 13, Pulaski, NY 13142-2400 |
| Jennifer N Taylor | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Steven A Steer Ii | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Scott C Buckingham | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Terese M Santaro Gustke | Nurse Practitioner | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Annemarie Sullivan | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| David A Green | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Amy L Marcinkowski | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| David C Wang | Diagnostic Radiology | Crouse Radiology Associates LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Street Address |
736 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip | 13210-1687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen L Ryder | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New York, P.C. | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Rachna Zirath | Internal Medicine | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| John S Pototsky | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New York, P.C. | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Anis Obeid | Cardiovascular Disease (cardiology) | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Stefanie A Cassel | Physician Assistant | Crouse Health Hospital Inc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Edward N Mcdonald | Hospitalist | Crouse Health Hospital Inc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Jennifer N Taylor | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Steven A Steer Ii | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Catherine M Burkett | Physician Assistant | Crouse Health Hospital Inc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Mackenzie R Rotella | Nurse Practitioner | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna E Albert | Physical Therapy | Peterson and Nellis Physical Therapy PC | 207 Pine St, Syracuse, NY 13210-1137 |
| Samah O Mohiuddin | Neurology | 1101 Erie E Blvd, Suite 204, Syracuse, NY 13210-1144 | |
| Paige C Ouimette | Psychologist, Clinical | 1101 Erie Blvd E, Suite 206, Syracuse, NY 13210-1144 | |
| Janet E Jaffe | Psychologist, Clinical | 1101 Erie E Blvd, Suite 207, Syracuse, NY 13210-1144 | |
| Rabia Rizwana | Neurology | 1101 Erie Blvd E, Suite 204, Syracuse, NY 13210-1144 | |
| Allan Yozawitz | Clinical Psychologist | 1101 Erie Blvd E, Syracuse, NY 13210-1144 | |
| Charles A Mango | Ophthalmology | 1101 Erie Blvd E, Suite 210, Syracuse, NY 13210-1148 | |
| Rajan Murthy | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 109 Pine St, Syracuse, NY 13210-1149 |
| Cathy J Berry | Obstetrics/gynecology | 101 Pine St, Syracuse, NY 13210-1149 | |
| Mary E Woiler | Nurse Practitioner | Cathy J. Berry, M.d., P.C. | 101 Pine St, Syracuse, NY 13210-1149 |
| Find all physicians in zip 13210 | |||
| City | SYRACUSE |
| Zip Code | 13210 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SYRACUSE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Matthew S Peckham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.