GORDANA OBRADOVIC


Address: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4311
Phone: 3154783311

GORDANA OBRADOVIC (NPI# 1013176403) 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) 1013176403
Entity Type Individual
Full Name GORDANA OBRADOVIC
Credential M.D.
Practice Address 1304 Buckley Rd
Suite 200
Syracuse
NY 13212-4311
Mailing Address Po Box 602
Suite 200
New Hartford
NY 13413-0602
Practice Telephone 3154783311
Practice Fax Number 3154765211
Mailing Telephone 3156249000
Mailing Fax Number 3156249003
Enumeration Date 2008-06-02
Last Update Date 2016-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MT191225 PA Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
277267 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1304 BUCKLEY RD
SUITE 200
City SYRACUSE
State NY
Zip Code 13212-4311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528059995 George O Temnycky Ophthalmology 1304 Buckley Rd, Suite 205, Syracuse, NY 13212-4311 2005-11-03
1265983696 The Lasik Vision Institute LLC Clinic/Center 1304 Buckley Rd, 3rd Floor Suite 301, Syracuse, NY 13212-4311 2016-10-20
1922558048 Liverpool Ld, LLC Clinic/Center 1304 Buckley Rd, Syracuse, NY 13212-4311 2016-10-13
1861949216 Jessica Arcuri Registered Nurse 1304 Buckley Rd, Syracuse, NY 13212-4311 2016-09-01
1205237914 Family Care Medical Group PC Non-Pharmacy Dispensing Site 1304 Buckley Rd, Suite 302, Syracuse, NY 13212-4311 2014-09-12
1881027332 Constance Marie Chantry Dietitian, Registered 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4311 2013-08-19
1326308362 Roksolana Stets Dentist 1304 Buckley Rd, Suite 203, Syracuse, NY 13212-4311 2012-05-24
1689843385 Liverpool Dialysis Center LLC Clinic/Center 1304 Buckley Rd, Syracuse, NY 13212-4311 2008-02-27
1710183678 Mounir Bashour Ophthalmology 1304 Buckley Rd, Suite 301, Syracuse, NY 13212-4302 2007-06-26
1972624914 Susan Bradley Dunn Dentist 1304 Buckley Rd, Suite 203, Syracuse, NY 13212-4311 2007-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750845749 Branches of Growth Mental Health Counseling, Pllc Counselor 3709 Brewerton Rd, Syracruse, NY 13212 2019-01-24
1821574070 Nadia Marie James Licensed Practical Nurse 7175 Rose Wood Circle, North Syracuse, NY 13212 2018-07-11
1306364534 Shonna Jolene Brodhead Social Worker Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 2017-09-08
1477915189 Karen Filapello Speech-Language Pathologist 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 2016-03-22
1285017095 Lacey Foster Skilled Nursing Facility 5991 East Taft Rd, North Syracuse, NY 13212 2015-06-30
1346500345 Wahienhawi Hall Counselor 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 2012-05-23
1316253768 Jenny Barnum Nurse Practitioner 5232 Witz Dr, North Syracuse, NY 13212 2010-08-24
1063738797 Gregory 'greg' Procopio Registered Nurse 308 Charlane Parkway, North Syracuse, NY 13212 2010-04-20
1316142243 Carrie Marie Vincent Specialist 401north Main Street, North Syracuse, NY 13212 2007-06-20
1245307594 Lynda Robin Kreitzer Podiatrist 316 South Main Street, North Syracuse, NY 13212 2006-11-30
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801203898 Syed Hassan Raza Bukhari Internal Medicine 750 E Adams St # 343, Syracuse, NY 13210-2306 2014-07-22
1881113488 Joanna Angela Woodruff Internal Medicine 1304 Buckley Rd Ste 200, Syracuse, NY 13212-4317 2017-09-14
1922409671 Suthaharan Vimalendran Internal Medicine 6846 Buckley Road, Syracuse, NY 13212-4264 2014-09-12
1932525425 Alia Hasan Internal Medicine 800 Irving Ave, Syracuse, NY 13210-2716 2014-03-09
1316235583 Vikram Aggarwal Internal Medicine 750 E Adams St, Room 343 Cwb, Syracuse, NY 13210-2306 2011-07-21
1104057751 Eric K. Ofori Internal Medicine 301 Prospect Avenue, Syracuse, NY 13203 2009-07-30
1407019730 Antoine Azar Internal Medicine 1304 Buckley Road, Suite 200, Syracuse, NY 13212-4317 2008-07-07
1831276823 Nephrology Associates of Syracuse, P.C. Internal Medicine 1304 Buckley Rd, Syracuse, NY 13212-4302 2006-11-01
1629154653 Matthew G Chaffin Internal Medicine 1304 Buckley Road, Syracuse, NY 13212 2006-10-31
1760584411 Bala K Murthy Internal Medicine 1304 Buckley Rd, Syracuse, NY 13212-4311 2006-09-02
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Competitor

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City SYRACUSE
Zip Code 13212

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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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