DR. RYAN C SIDEBOTTOM (NPI# 1508178914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508178914 |
| Entity Type | Individual |
| Full Name | DR. RYAN C SIDEBOTTOM |
| Credential | DO |
| Practice Address |
161 Genesee St Ste 106 Auburn NY 13021-3390 |
| Mailing Address |
17 Lansing St Att: M.roberts Auburn NY 13021-1983 |
| Practice Telephone | 3155670555 |
| Practice Fax Number | 3155670308 |
| Mailing Telephone | 3155670480 |
| Mailing Fax Number | 3152557099 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 280950 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04198454 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298090 | Ryan Sidebottom | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2015-10-30 |
| Street Address |
161 GENESEE ST STE 106 |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-3390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548295801 | Jack E Keiser Jr. | Urology | 50 Brookhollow Dr, Auburn, NY 13021-9654 | 2006-07-12 |
| 1407197486 | Associated Medical Professionals of Ny, Pllc | Urology | 192 Genesee St, Auburn, NY 13021-3361 | 2013-03-15 |
| 1154518231 | Jack E. Keiser,jr.,m.d.,pc | Urology | 50 Brookhollow Dr, Auburn, NY 13021-9654 | 2007-10-02 |
| 1891912259 | Matthew Janiga | Urology | 3123 Professional Dr, Suite 210, Auburn, CA 95603-2462 | 2007-04-19 |
| 1750454666 | William Warner Kirby | Urology | 3257 Professional Drive, Suite D, Auburn, CA 95602-2460 | 2006-11-16 |
| 1609970854 | David Scott Schnapp | Urology | 192 Genesee St, Auburn, NY 13021-3361 | 2006-09-09 |
| 1922021112 | William H. Foresman M.d.p.c. | Urology | 192 Genesee St, Auburn, NY 13021-3361 | 2006-07-26 |
| 1790758639 | William Foresman | Urology | 192 Genesee St, Auburn, NY 13021-3361 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 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.