CNY SPINE MEDICINE, PLLC (NPI# 1689733974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689733974 |
| Entity Type | Organization |
| Organization Name | CNY SPINE MEDICINE, PLLC |
| Other Organization Name | DOCTORRODZ |
| Practice Address |
4000 Medical Center Dr Ste 4217 Fayetteville NY 13066-6631 |
| Mailing Address |
1001 W Fayette St Ste 400 Syracuse NY 13204-2859 |
| Practice Telephone | 3156377900 |
| Mailing Telephone | 3154721488 |
| Mailing Fax Number | 3154761792 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | GERARD S RODZIEWICZ (DIRECTOR) |
| Authorized Official Telephone | 3156377900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 003578 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207T00000X | Neurological Surgery | 174479 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DoctorRodz | Doing Business As Name - Organization |
| Street Address |
4000 MEDICAL CENTER DR STE 4217 |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322519 | Gerard S Rodziewicz | Neurological Surgery | 4000 Medical Center Dr, Suite 108, Fayetteville, NY 13066-6631 | 2005-08-09 |
| 1144633702 | Tara Brackley | Optometrist | 4000 Medical Center Dr, Suite 207, Fayetteville, NY 13066-6631 | 2014-06-11 |
| 1992131973 | Adam W Paddock | Physician Assistant | 4000 Medical Center Dr, Fayetteville, NY 13066-6631 | 2013-09-23 |
| 1548570807 | Eastside Audiology Services, LLC | Audiologist | 4000 Medical Center Dr, Suite 404, Fayetteville, NY 13066-6631 | 2010-10-20 |
| 1003035494 | Rui Wang | Acupuncturist | 4000 Medical Center Dr, Suite 209, Fayetteville, NY 13066-6631 | 2007-04-24 |
| 1619011715 | William Tucker Md Pllc | Ophthalmology | 4000 Medical Center Dr, Suite 207, Fayetteville, NY 13066-6631 | 2007-02-20 |
| 1730273806 | William M Tucker | Ophthalmology | 4000 Medical Center Dr, Suite 207, Fayetteville, NY 13066-6631 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700015674 | Timothy B. Scarff | Neurological Surgery | 1055 Wedgewood Dr, Fayetteville, GA 30214-1337 | 2009-07-13 |
| 1427080894 | Brent P Peterson | Neurological Surgery | 3336 N. Futrall Drive, Fayetteville, AR 72703 | 2006-07-07 |
| 1386671790 | Larry A Armstrong | Neurological Surgery | 3336 N Futrall Drive, Fayetteville, AR 72703 | 2006-06-28 |
| 1275573255 | David Luke Knox | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704-5026 | 2006-06-07 |
| 1609823780 | Kelly Richard Danks | Neurological Surgery | 1706 E Joyce Blvd, 2, Fayetteville, AR 72703-5238 | 2006-05-27 |
| 1245202274 | James Blair Blankenship | Neurological Surgery | 2793 E Millennium, Suite 1, Fayetteville, AR 72703-6522 | 2006-02-03 |
| 1154322519 | Gerard S Rodziewicz | Neurological Surgery | 4000 Medical Center Dr, Suite 108, Fayetteville, NY 13066-6631 | 2005-08-09 |
| 1720080070 | Cape Fear Neurosurgery | Neurological Surgery | 1319 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2005-06-01 |
| 1851754345 | Washington Regional Medical System | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704 | 2016-04-01 |
| 1811383896 | Nc Neurosurgery and Spine Clinic Pllc | Neurological Surgery | 2109 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3682 | 2015-04-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
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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.