BRUCE MARMOR (NPI# 1407183569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407183569 |
Entity Type | Individual |
Full Name | BRUCE MARMOR |
Credential | MD |
Practice Address |
5719 Widewaters Pkwy Syracuse NY 13214-1985 |
Mailing Address |
5824 Widewaters Pkwy East Syracuse NY 13057-3072 |
Practice Telephone | 3152513100 |
Practice Fax Number | 3154499923 |
Mailing Telephone | 3152513100 |
Enumeration Date | 2009-11-11 |
Last Update Date | 2009-11-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 096788 | NY | Allopathic & Osteopathic Physicians |
Street Address |
5719 WIDEWATERS PKWY |
City | SYRACUSE |
State | NY |
Zip Code | 13214-1985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
1700486065 | Heather M. Stamour | Nurse Practitioner | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2020-10-27 |
1962062364 | Onondaga Orthopedics LLP | Durable Medical Equipment & Medical Supplies | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2019-06-18 |
1548711583 | Laura Yasuko Goodwell-velez | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
1811448855 | Laurance Goodwin IIi | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
1326486754 | Nicole I. Jones | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-06-07 |
1821330176 | Anthony M Orio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-03-25 |
1790036697 | Marvin Balmir | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2012-10-02 |
1295093763 | Cassandra Riggs | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214 | 2012-05-02 |
1275845760 | Melissa A Cullinan | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 | 2010-07-13 |
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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 | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
---|---|---|---|---|
1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
1245551506 | Caitlin Elizabeth Toomey | Internal Medicine | 90 Presidential Plz Fl 2, Syracuse, NY 13202-2240 | 2010-06-21 |
1023245313 | Tanya M George | Internal Medicine | 750 E Adams St - Department of Internal Medicine, Department of Internal Medicine, Syracuse, NY 13210-2342 | 2009-06-15 |
1740414853 | Richard Walter Weiskopf | Internal Medicine | 259 East Onondaga St., Amaus Health Services At Cathedral, Syracuse, NY 13202 | 2009-05-05 |
1952585838 | Indu Gupta | Internal Medicine | 421 Montgomery St. Onondaga County Health Department, John H. Mulroy Civic Center 9th Floor, Syracuse, NY 13202 | 2007-12-27 |
1871783969 | Berton R Shayevitz | Internal Medicine | Ima, 518 James Street, Syracuse, NY 13203 | 2007-07-26 |
1831318799 | Abha Harish | Internal Medicine | 550 Harrison St Ste I, Syracuse, NY 13202-3188 | 2007-04-25 |
1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
1154482339 | Stephen J Thomas | Internal Medicine | 725 Irving Avenue, Suite 314, Syracuse, NY 13210 | 2006-12-12 |
1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
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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.