ST JOSEPH'S HOSPITAL HEALTH CENTER (NPI# 1417977745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417977745 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Practice Address |
973 James Street Syracuse NY 13203 |
| Mailing Address |
301 Prospect Ave Syracuse NY 13203 |
| Practice Telephone | 3157036700 |
| Practice Fax Number | 3157036767 |
| Mailing Telephone | 3154485880 |
| Mailing Fax Number | 3154486161 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MR. MICHAEL SHAFFER (VP FOR FISCAL AFFAIRS, CFO) |
| Authorized Official Telephone | 3154485880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00315013 | 05 | |
| NY | 02995893 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063442192 | St Joseph's Hospital Health Center | Clinic/Center | 8136 Oswego Street, Liverpool, NY 13090 | 2006-07-04 |
| 1184654212 | St Joseph's Hospital Health Center | Clinic/Center | 4105 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-07-04 |
| 1265462386 | St Joseph's Hospital Health Center | Clinic/Center | 5101 West Genesee Street, Camillus, NY 13031 | 2006-07-04 |
| 1972872505 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Avenue, Syracuse, NY 13203-1898 | 2011-12-28 |
| 1225357452 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Ave, Inpatient Aku, Syracuse, NY 13203-1807 | 2010-05-27 |
| 1699832436 | St Joseph's Hospital Health Center | Family Medicine | 301 Prospect Ave, Employed Physician Group, Syracuse, NY 13203-1807 | 2007-01-02 |
| Street Address |
973 JAMES STREET |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619114014 | Sjls, LLC | Clinic/Center | 973 James St, Syracuse, NY 13203-2524 | 2009-01-07 |
| 1932271251 | Central New York Dc, LLC | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2006-11-14 |
| 1386677763 | Dialysis Clinic Inc. | Clinic/Center | 1127 E Genesee St, Syracuse, NY 13210-1911 | 2006-07-08 |
| 1922558048 | Liverpool Ld, LLC | Clinic/Center | 1304 Buckley Rd, Syracuse, NY 13212-4311 | 2016-10-13 |
| 1285978999 | Knickerbocker Dialysis Inc | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1048 | 2012-11-19 |
| 1689843385 | Liverpool Dialysis Center LLC | Clinic/Center | 1304 Buckley Rd, Syracuse, NY 13212-4311 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.