SYRACUSE HEMATOLOGY ONCOLOGY PC (NPI# 1669667671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667671 |
| Entity Type | Organization |
| Organization Name | SYRACUSE HEMATOLOGY ONCOLOGY PC |
| Practice Address |
5112 W Taft Rd Suite J Liverpool NY 13088-4868 |
| Practice Telephone | 3154522688 |
| Practice Fax Number | 3154522690 |
| Mailing Telephone | 3154522688 |
| Mailing Fax Number | 3154522690 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. BENJAMIN S HIMPLER (PRESIDENT, PC) |
| Authorized Official Telephone | 3154522688 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 021913468 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952469843 | Syracuse Hematology Oncology PC | Internal Medicine | 2200 E Genesee St, Syracuse, NY 13210 | 2006-12-05 |
| Street Address |
5112 W TAFT RD SUITE J |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202641 | Gastroenterology & Hepatology of Central New York, PC | Anesthesiology | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2005-08-19 |
| 1073996567 | Matthew Romano | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-07-02 |
| 1912388752 | Carolyn Gaulke | Nurse Practitioner | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-06-17 |
| 1942645213 | Sarah Barnhardt | Massage Therapist | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2013-05-01 |
| 1598041766 | Melanie F Salanger | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2011-11-01 |
| 1649410762 | George Elbayadi | Anesthesiology | 5112 W Taft Rd, Ste H, Liverpool, NY 13088-4868 | 2009-03-02 |
| 1891934527 | Theresa Hobbs | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2009-02-19 |
| 1669654323 | Gregory Wolanski | Pharmacist | 5112 W Taft Rd, Suite A, Liverpool, NY 13088-4868 | 2007-12-04 |
| 1912193186 | Renee L Pierce | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2007-09-20 |
| 1053505511 | Digestive Disease Center of Central New York, LLC | Clinic/Center | 5112 W Taft Rd, Suite E, Liverpool, NY 13088-4868 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
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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.