NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC (NPI# 1023497203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023497203 |
| Entity Type | Organization |
| Organization Name | NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC |
| Other Organization Name | NEW YORK SPINE AND WELLNESS CENTER |
| Practice Address |
5417 West Genesee Street Suite 1 Camillus NY 13031 |
| Mailing Address |
Po Box 510 Syracuse NY 13214-0510 |
| Practice Telephone | 3154324900 |
| Practice Fax Number | 3154882397 |
| Mailing Telephone | 3157033480 |
| Mailing Fax Number | 3157033481 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | ROBERT L. TISO (MD) |
| Authorized Official Telephone | 3155526700 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03423585 | 05 |
| Other Name | Type Code |
|---|---|
| New York Spine and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029815 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 6430 Transit Rd, Suite 300, Depew, NY 14043-1033 | 2015-12-10 |
| 1770958100 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 | 2015-12-10 |
| 1992032429 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2009-11-04 |
| Street Address |
5417 WEST GENESEE STREET SUITE 1 |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| 1679716468 | Shauna Marie Mulpagano | Licensed Vocational Nurse | 23 1st Street, Camillus, NY 13031 | 2009-04-09 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912422676 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5335 W Genesee St Ste 20, Camillus, NY 13031-2265 | 2017-08-03 |
| 1598294399 | Cny Medical and Surgical Eye Care PC | Durable Medical Equipment & Medical Supplies | 5109 W Genesee St Ste 102, Camillus, NY 13031-2372 | 2017-06-06 |
| 1528214582 | Associated Healthcare Systems, Inc | Durable Medical Equipment & Medical Supplies | 3704 Milton Ave, Camillus, NY 13031-1771 | 2008-08-11 |
| 1619065034 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 5335 West Genesee Street, Suite 20, Camillus, NY 13031-2265 | 2006-10-11 |
| 1114014164 | Vince's Pharmacy of Camillus Inc | Durable Medical Equipment & Medical Supplies | 3781 Milton Ave, Camillus, NY 13031-1557 | 2006-10-09 |
| 1073608071 | Lorraine Southworth Dba New Beginnings Health Care | Durable Medical Equipment & Medical Supplies | 104 Vanida Dr, Camillus, NY 13031-1618 | 2006-10-04 |
| 1962429035 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5399 W Genesee St, Camillus, NY 13031-2265 | 2006-07-16 |
| 1831124841 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5206 W Genesee St, Camillus, NY 13031-2202 | 2006-07-11 |
| 1558926402 | Dme Consulting Agency LLC | Durable Medical Equipment & Medical Supplies | 5639 W Genesee St, Camillus, NY 13031-1250 | 2019-05-07 |
| 1154504645 | Susan Scheftics Mastectomy Boutique | Durable Medical Equipment & Medical Supplies | 5700 W Genesee St, Camillus, NY 13031-3200 | 2007-12-07 |
| Find all providers in CAMILLUS | ||||
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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.