MARISA ELIZABETH DESIMONE (NPI# 1083806624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083806624 |
| Entity Type | Individual |
| Full Name | MARISA ELIZABETH DESIMONE |
| Credential | MD |
| Practice Address |
3229 E Genesee St Joslin Center Syracuse NY 13214-2016 |
| Practice Telephone | 3154645726 |
| Practice Fax Number | 3154642500 |
| Mailing Telephone | 3154645726 |
| Mailing Fax Number | 3154642500 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
261326 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03304107 | 05 |
| Street Address |
3229 E GENESEE ST JOSLIN CENTER |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132695 | Rachel L. Hopkins | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2005-08-23 |
| 1689234965 | Marsha Ann Mosher | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-06-18 |
| 1992362511 | Destiny M Jett | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-05-20 |
| 1770061863 | Lauren K Eadline | Nurse Practitioner | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2018-08-01 |
| 1831617646 | Rebecca Lynn Fuller | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2017-08-31 |
| 1346782695 | Jennifer Lansing | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-11-16 |
| 1992156996 | Danielle Stegman-barber | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-06-30 |
| 1497125660 | Cassie Arnold | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2015-10-01 |
| 1922409135 | Maria Aquilino | Nurse Practitioner | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2014-09-07 |
| 1174815245 | Ruban Dhaliwal | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2011-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1316929433 | Padma Lal | Internal Medicine | 600 E. Genesee Street, Ste 106, Syracuse, NY 13202 | 2005-11-15 |
| 1336132695 | Rachel L. Hopkins | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2005-08-23 |
| 1174815245 | Ruban Dhaliwal | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2011-05-09 |
| 1922259845 | Grant Gordon Kelley | Internal Medicine | 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203-1807 | 2008-10-09 |
| 1689837734 | David Jonathan Di Cesar | Internal Medicine | 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 | 2008-07-09 |
| 1205981057 | Yanping Kong | Internal Medicine | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2007-01-24 |
| 1073539458 | Theodore G Dalakos | Internal Medicine | 2700 Court St, Syracuse, NY 13208-3295 | 2006-07-15 |
| 1760425680 | Arnold M Moses | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2006-06-14 |
| 1831132752 | Ruth S Weinstock | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2006-06-14 |
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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.