DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP (NPI# 1225052772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225052772 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP |
| Other Organization Name | UNIVERSITY PHYSICIANS INFUSION CENTER |
| Practice Address |
1000 E Genesee St Suite 403 Syracuse NY 13210-1892 |
| Practice Telephone | 3154642929 |
| Practice Fax Number | 3154642930 |
| Mailing Telephone | 3154642929 |
| Mailing Fax Number | 3154642930 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MICHAEL C. IANNUZZI (PRESIDENT) |
| Authorized Official Telephone | 3154643835 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
NY | Allopathic & Osteopathic Physicians | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers | |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| University Physicians Infusion Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205104262 | Department of Medicine Medical Service Group | Internal Medicine | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP AT THE SUNY HEALTH SCIENCE CENTER AT SYRACUSE | 750 E Adam St, Syracuse, NY 13210-2306 |
| New York State Corporations | DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP AT THE SUNY HEALTH SCIENCE CENTER AT SYRACUSE INC. | Dept Medicine, Medical Service, Group, 750 East Adams Street, Syracuse, Ny 13210 |
| Street Address |
1000 E GENESEE ST SUITE 403 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1396284733 | Sarah Benton | Nurse Practitioner | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2017-02-17 |
| 1366877540 | Lana Catherine Gagne | Nurse Practitioner | 1000 E Genesee St, Ste 500, Syracuse, NY 13210-1885 | 2013-09-06 |
| 1821347683 | Jarmel Physical Therapy, Pllc | Clinic/Center | 1000 E Genesee St, Hill Medical Center Suite# 202, Syracuse, NY 13210-1892 | 2012-09-06 |
| 1366799033 | Upstate Gastroenterology, LLC | Clinic/Center | 1000 E Genesee St, Suite 206, Syracuse, NY 13210-1892 | 2012-08-13 |
| 1528314879 | Southern New York Neurosurgical Group, P.C. | Neurological Surgery | 1000 E Genesee St, Suite 602, Syracuse, NY 13210-1892 | 2012-07-24 |
| 1467713149 | David J Davin Md Pllc | Internal Medicine | 1000 E Genesee St, Suite 204, Syracuse, NY 13210-1892 | 2012-05-30 |
| 1386942092 | Associated Healthcare Systems Inc | Durable Medical Equipment & Medical Supplies | 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1853 | 2011-03-03 |
| 1982902730 | Associated Healthcare Systems Inc | Durable Medical Equipment & Medical Supplies | 1000 E Genesee St, Ste 402, Syracuse, NY 13210-1853 | 2011-03-03 |
| 1629374210 | Jamie Lynn Nelson | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2011-01-31 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991654 | Frank Peter Paolozzi | Internal Medicine | 800 Irving Ave., Syracuse Va Medical Center, Syracuse, NY 13210 | 2006-06-16 |
| 1144877390 | Marianne Thurm | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-1834 | 2019-08-22 |
| 1972930998 | Abirami Sivapiragasam | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2013-10-04 |
| 1053601732 | Dorothy C. Pan | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2342 | 2011-04-14 |
| 1922311992 | Aarati Poudel | Internal Medicine | Department of Veterans Affairs, 800 Irving Ave, Syracuse, NY 13210-4122 | 2010-07-20 |
| 1093970048 | Mijung Lee | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-07-18 |
| 1952469843 | Syracuse Hematology Oncology PC | Internal Medicine | 2200 E Genesee St, Syracuse, NY 13210 | 2006-12-05 |
| 1275567752 | Jonathan Wright | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-10 |
| 1528090248 | Stephen L Graziano | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-06 |
| 1235168238 | Sheila M Lemke | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-02 |
| 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.