UNIVERSITY OB/GYN ASSOCIATES, INC. (NPI# 1235170150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235170150 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OB/GYN ASSOCIATES, INC. |
| Practice Address |
736 Irving Ave 3662 West Tower Syracuse NY 13210-1687 |
| Practice Telephone | 3154707905 |
| Mailing Telephone | 3154707905 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-07-25 |
| Authorized Official Name | ROBERT K. SILVERMAN (CHAIRMAN) |
| Authorized Official Telephone | 3154707905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
NY | Allopathic & Osteopathic Physicians | |
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
NY | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | NY | Allopathic & Osteopathic Physicians | |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROAD MEDICARE NUMBER | CE7373 | 01 |
| NY | 02670804 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | UNIVERSITY OB/GYN ASSOCIATES, INC. | 736 Irving Avenue, 3rd Floor, West Tower, Syracuse, Ny 13210 |
| Street Address |
736 IRVING AVE 3662 WEST TOWER |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1417555079 | Drake Kingdon Burgess | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1457975567 | Clare Murphy | Speech-Language Pathologist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-04 |
| 1609498062 | Christopher James Limoncelli | Physical Therapist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-05-08 |
| 1265060016 | Amanda Lynn Webb | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-03-28 |
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971897 | Beth Houck Md LLC | Obstetrics & Gynecology | 475 Irving Ave, Suite 406, Syracuse, NY 13210-1756 | 2012-08-13 |
| 1174711774 | Nesim Contente Md PC | Obstetrics & Gynecology | 215 E Water St, Syracuse, NY 13202-1159 | 2007-10-09 |
| 1982813424 | Comprehensive Gynecology, PC | Obstetrics & Gynecology | 770 James St Ste 100b, Syracuse, NY 13203-2642 | 2007-05-22 |
| 1942352836 | Women's View Gynecology-closed | Obstetrics & Gynecology | 1200 E Genesee St, Suite 207, Syracuse, NY 13210-1968 | 2007-01-18 |
| 1821033556 | Raja W Abdul-karim | Obstetrics & Gynecology | 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202-2240 | 2006-06-17 |
| 1417908039 | Kristen Kratzert | Obstetrics & Gynecology | 739 Irving Ave, Suite 530, Syracuse, NY 13210-1651 | 2006-05-16 |
| 1992765879 | Fathi A Jishi | Obstetrics & Gynecology | 1000 E Genesee St, Ste 500, Syracuse, NY 13210 | 2006-03-24 |
| 1770562761 | Melanie D Ramachandran | Obstetrics & Gynecology | 1101 Erie Blvd E, Ste 210, Syracuse, NY 13210-1144 | 2006-01-10 |
| 1952397705 | Shane M Sopp, Md PC | Obstetrics & Gynecology | 4900 Broad Rd, Cgh Pob Suite 2v, Syracuse, NY 13215-2265 | 2005-09-26 |
| 1497741243 | Shane M Sopp | Obstetrics & Gynecology | 4900 Broad Rd, Cgh Pob Suite 2v, Syracuse, NY 13215-2265 | 2005-09-26 |
| 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.