CARLY HORNIS (NPI# 1073999769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073999769 |
| Entity Type | Individual |
| Full Name | CARLY HORNIS |
| Credential | MD |
| Practice Address |
739 Irving Ave Suite 530 Syracuse NY 13210-1663 |
| Practice Telephone | 3154781158 |
| Practice Fax Number | 3154783014 |
| Mailing Telephone | 3154781158 |
| Mailing Fax Number | 3154783014 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 299132 | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MT209866 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
739 IRVING AVE SUITE 530 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| 1538604053 | Darren Kwee | Physician Assistant | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-12-20 |
| 1093268153 | Mackenzie Renee Rotella | Nurse Practitioner | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-07-25 |
| 1811348642 | Sara Finney | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2016-06-22 |
| 1174990592 | Anna Buckman | Nurse Practitioner | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-09-02 |
| 1144604117 | Brandy Leary | Nurse Practitioner | 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 | 2015-07-19 |
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1477950400 | Tabatha Jorgensen | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2014-11-19 |
| 1568874881 | Crouse Medical Practice Pllc | Non-Pharmacy Dispensing Site | 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 | 2014-05-21 |
| 1427487412 | Shikela Giles | Nurse Practitioner | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2013-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710335 | Safiyah Hosein | Obstetrics & Gynecology | 736 Irving Ave # 3wt, Syracuse, NY 13210-1687 | 2016-06-13 |
| 1669816526 | Kelli Corniello | Obstetrics & Gynecology | 475 Irving Ave Ste 108, Syracuse, NY 13210-1691 | 2013-04-23 |
| 1154556884 | Michelle J Auerbach | Obstetrics & Gynecology | 935 James St, Syracuse, NY 13203-2502 | 2009-05-26 |
| 1033245576 | Althea Hoilett Barrett | Obstetrics & Gynecology | 330 Palace Ct, Apt. C, Syracuse, NY 13212-2842 | 2007-02-27 |
| 1285697300 | The Hill Obgyn Associates PC | Obstetrics & Gynecology | 1000 East Genesee Street, Suite 500, Syracuse, NY 13210 | 2006-04-10 |
| 1033188115 | Alfredo Lopez | Obstetrics & Gynecology | 516 Prospect Ave, Syracuse, NY 13208 | 2006-03-14 |
| 1932173341 | Mark David Adelson | Obstetrics & Gynecology | 770 James St Ste 100b, Syracuse, NY 13203-2642 | 2006-02-14 |
| 1669454492 | Edith M Westpfal | Obstetrics & Gynecology | 4900 Broad Rd., Physicians Office Building South, Suite 2h, Syracuse, NY 13215-2265 | 2005-11-17 |
| 1134119027 | Melissa Brown | Obstetrics & Gynecology | 770 James St, Syracuse, NY 13203-2117 | 2005-10-24 |
| 1629067061 | Carolyn Mary Pover | Obstetrics & Gynecology | 104 Union Avenue and Townsend Street, Suite 803, Syracuse, NY 13203 | 2005-10-18 |
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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.