DR. MATTHEW G SCUDERI (NPI# 1669413480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669413480 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW G SCUDERI |
| Credential | MD |
| Practice Address |
6620 Fly Road Ste 200 East Syracuse NY 13057 |
| Practice Telephone | 3154644472 |
| Practice Fax Number | 3154645229 |
| Mailing Telephone | 3154644472 |
| Mailing Fax Number | 3154645229 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 231541 | NY | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
231541 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
231541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02551279 | 05 |
| Street Address |
6620 FLY ROAD STE 200 |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305369 | Stephen A Albanese | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-06-13 |
| 1427282771 | Upstate Orthopedics Ambulatory Surgery Center LLC | Clinic/Center | 6620 Fly Road, Suite 300, East Syracuse, NY 13057 | 2009-05-14 |
| 1134247646 | William F Lavelle | Orthopaedic Surgery | 6620 Fly Road, Suite 200, East Syracuse, NY 13057 | 2007-03-26 |
| 1760491872 | Kelly Lynn Stewart | Registered Nurse | 6620 Fly Road, East Syracuse, NY 13057 | 2006-08-07 |
| 1649213232 | Catherine Marie Tomaiuoli | Nurse Practitioner | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-06-13 |
| 1740228311 | Upstate Orthopedics, LLP | Durable Medical Equipment & Medical Supplies | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-06-03 |
| 1881645323 | Mike H Sun | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-05-12 |
| 1669423190 | Richard A Tallarico | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-05-12 |
| 1184616203 | Jon B Loftus | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-08-16 |
| 1740285584 | Kevin J Setter | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
| 1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
| 1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
| 1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
| 1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
| 1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
| 1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
| 1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
| Find all providers in zip 13057 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
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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.