SUNY HEALTHSCIENCE CENTER AT SYRACUSE (NPI# 1184974529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184974529 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTHSCIENCE CENTER AT SYRACUSE |
| Other Organization Name | UPSTATE UNIVERSITY HOSPITAL |
| Practice Address |
750 East Adams Street Syracuse NY 13210-2306 |
| Practice Telephone | 3154646530 |
| Practice Fax Number | 3154648333 |
| Mailing Telephone | 3154646530 |
| Mailing Fax Number | 3154648333 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MR. STUART M WRIGHT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3154646530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 282N00000X | General Acute Care Hospital | 3301007H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI FOR ACUTE HOSPITAL | 1578554630 | 01 |
| NY | MEDICARE PROVIDER NUMBER | 330241 | 01 |
| NY | 00354590 | 05 |
| Other Name | Type Code |
|---|---|
| Upstate University Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841248713 | Suny Healthscience Center At Syracuse | Rehabilitation Unit | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-04 |
| 1144288531 | Suny Healthscience Center At Syracuse | Psychiatric Unit | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-03 |
| Street Address |
750 EAST ADAMS STREET |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296524 | J C Trussell | Urology | 750 East Adams Street, Upstate University Hospital, Syracuse, NY 13210 | 2006-04-25 |
| 1760973465 | Sundus Sarfraz Mian | Student in an Organized Health Care Education/Training Program | 750 East Adams Street, Syracuse, NY 13210 | 2018-05-29 |
| 1336645076 | Joseph Chin | Student in an Organized Health Care Education/Training Program | 750 East Adams Street, Syracuse, NY 13210 | 2018-04-02 |
| 1164921961 | Rebecca Ryan Marcinak | Pharmacist | 750 East Adams Street, Syracuse, NY 13210 | 2018-02-07 |
| 1548789662 | Sergey Kravchick | Urology | 750 East Adams Street, Department of Urology Suny Upstate Medical University, Syracuse, NY 13210 | 2017-09-11 |
| 1649699570 | Ruham Alshiekh Nasany | Psychiatry & Neurology | 750 East Adams Street, Syracuse, NY 13210 | 2014-04-08 |
| 1245503408 | Karen A Gibbs | Nurse Practitioner | 750 East Adams Street, 8th Floor, Syracuse, NY 13210 | 2012-02-20 |
| 1073743977 | Leah M Bennett | Emergency Medicine | 750 East Adams Street, Syracuse, NY 13210-2306 | 2009-07-26 |
| 1629207139 | Raffaele James Marchigiani | Surgery | 750 East Adams Street, Syracuse, NY 13210 | 2009-07-06 |
| 1891930897 | Christopher Robert Scianna | Emergency Medicine | 750 East Adams Street, Suny Upstate Medical University, Syracuse, NY 13210-2375 | 2008-12-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043331937 | Crouse Hospital | General Acute Care Hospital | Crouse Hospital, 736 Irving Ave., Syracuse, NY 13210 | 2007-04-02 |
| 1912034554 | Janet Mark | General Acute Care Hospital | 410 S Crouse Ave, Syracuse, NY 13210-1799 | 2007-02-28 |
| 1083781009 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Avenue Bvac 116, Syracuse Va Medical Center, Syracuse, NY 13210-2716 | 2006-11-29 |
| 1851485759 | Upstate Medical Anesthesiology Group, Inc. | General Acute Care Hospital | 750 East Adams Str, Suite 4143, Syracuse, NY 13210 | 2006-10-03 |
| 1447609102 | Upstate University Hospital | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-06-03 |
| 1073987798 | Patricia Ryan | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-11-18 |
| 1871914465 | Alina Basnet | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-1834 | 2013-12-27 |
| 1972872505 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Avenue, Syracuse, NY 13203-1898 | 2011-12-28 |
| 1447537600 | Syracuse Vamc | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2011-11-15 |
| 1063702785 | Upstate Medical University | General Acute Care Hospital | 750 E Adams St, Suite 2104, Syracuse, NY 13210-2342 | 2011-04-14 |
| Find all providers in SYRACUSE | ||||
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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.