SCOTT A EDISON (NPI# 1124032032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124032032 |
| Entity Type | Individual |
| Full Name | SCOTT A EDISON |
| Credential | MD |
| Practice Address |
260 Township Blvd Ste 20 Camillus NY 13031-1674 |
| Practice Telephone | 3157080091 |
| Practice Fax Number | 3157080194 |
| Mailing Telephone | 3157080190 |
| Mailing Fax Number | 3154883284 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
174042 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01517500 | 05 |
| Street Address |
260 TOWNSHIP BLVD STE 20 |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946433 | Margaret Mary Bailey | Specialist | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-01-10 |
| 1851535116 | Christine Marie Granato | Internal Medicine | 260 Township Blvd, Suite 20, Camillus, NY 13031-2206 | 2009-04-29 |
| 1689837684 | Qun Xu | Nurse Practitioner | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2008-07-09 |
| 1568652261 | Thomas C Lee | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2007-07-28 |
| 1821177130 | Kelly Marie North | Physician Assistant | 260 Township Blvd, Ste 20, Camillus, NY 13031-1678 | 2006-11-06 |
| 1114931037 | Theodore Koh | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1205840899 | John Sun | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1467475715 | John A Dale | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| 1720001043 | James G Tifft | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| 1013938174 | Associated Gastroenterologists of Central New York, PC | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031 | 2006-07-22 |
| Find all providers in the same location | ||||
| 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 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 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 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1851535116 | Christine Marie Granato | Internal Medicine | 260 Township Blvd, Suite 20, Camillus, NY 13031-2206 | 2009-04-29 |
| 1568652261 | Thomas C Lee | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2007-07-28 |
| 1114931037 | Theodore Koh | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1205840899 | John Sun | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1467475715 | John A Dale | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| 1720001043 | James G Tifft | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| 1013938174 | Associated Gastroenterologists of Central New York, PC | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031 | 2006-07-22 |
| 1154375087 | Rayees Nizam | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-05-22 |
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|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
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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.