OCTAVIANI MEDICINE PC (NPI# 1437517463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437517463 |
| Entity Type | Organization |
| Organization Name | OCTAVIANI MEDICINE PC |
| Practice Address |
1223 N Salina St Syracuse NY 13208-1519 |
| Practice Telephone | 3157033263 |
| Mailing Telephone | 3157033263 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | DR. DENISE OCTAVIANI (PRESIDENT - OWNER) |
| Authorized Official Telephone | 3157033263 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 197696 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1223 N SALINA ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286325 | Denise Octaviani | Family Medicine | 1223 N Salina St, Syracuse, NY 13208-1519 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451848 | Gianna of Syracuse Medical Pllc | Family Medicine | 127 Chapel Dr., Syracuse, NY 13219-1919 | 2020-03-03 |
| 1235616210 | Shelby Lynn Sharp | Family Medicine | 90 Presidential Plz Ste 5010, Syracuse, NY 13202-2240 | 2018-07-23 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1891932596 | Marc Iqbal | Family Medicine | 5606 Bear Rd, Syracuse, NY 13212-1648 | 2009-01-16 |
| 1205073483 | Paul Peter Stobnicke | Family Medicine | 504 Winkworth Pkwy, Syracuse, NY 13215-1554 | 2009-01-09 |
| 1700070216 | Douglas Ahn Md Pllc | Family Medicine | 739 Irving Ave Ste 510, Syracuse, NY 13210-1663 | 2007-08-29 |
| 1114133402 | Maryellen Cathleen Lewis | Family Medicine | 216 Seymour St, Syracuse, NY 13204-3208 | 2007-05-15 |
| 1346320140 | Jack Prow Clark | Family Medicine | 518 Ems D15 Ln, Syracuse, IN 46567-8026 | 2006-10-16 |
| 1457445744 | Frank Raymond Sharf | Family Medicine | 745 S 2000 W, Syracuse, UT 84075-9621 | 2006-10-03 |
| 1740392927 | Warsaw Health System, LLC | Family Medicine | 808 S Huntington St, Syracuse, IN 46567-1810 | 2006-08-31 |
| 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.