JOHN J GULLO (NPI# 1700865243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700865243 |
| Entity Type | Individual |
| Full Name | JOHN J GULLO |
| Credential | M.D. |
| Practice Address |
5008 Brittonfield Pkwy Suite 700 East Syracuse NY 13057-9248 |
| Practice Telephone | 3154727504 |
| Practice Fax Number | 3154798639 |
| Mailing Telephone | 3154727504 |
| Mailing Fax Number | 3154798639 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
137981-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00602671 | 05 |
| Street Address |
5008 BRITTONFIELD PKWY SUITE 700 |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057-9248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357923 | Margaret A Sitnik | Nurse Practitioner | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2005-06-21 |
| 1467001842 | Helene Emma Abrams | Physician Assistant | 5008 Brittonfield Pkwy, East Syracuse, NY 13057-9248 | 2019-09-08 |
| 1164931382 | Jenna Leigh Leubner | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2017-09-20 |
| 1659824522 | Samantha Lynne Burke | Nurse Practitioner | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2016-07-27 |
| 1538528658 | Alicia E Rayder | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2016-02-17 |
| 1184009300 | Katie Claire Cazzolli | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2015-07-29 |
| 1174903181 | Emily Malone | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2015-06-04 |
| 1356757264 | Elsa M.l. Capria | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057-9248 | 2014-07-11 |
| 1275948580 | Kristin Fahsel | Clinical Nurse Specialist | 5008 Brittonfield Pkwy, East Syracuse, NY 13057-9248 | 2014-06-25 |
| 1881017226 | Theresa Shepherd | Nutritionist | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2014-01-21 |
| 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 | 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 |
|---|---|---|---|---|
| 1770921991 | Lauren Mikesell Panebianco | Internal Medicine | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2013-06-10 |
| 1487945564 | Anita Pudusseri | Internal Medicine | 5008 Brittonfield Pkwy, East Syracuse, NY 13057-9248 | 2011-04-25 |
| 1619266798 | Vinod Mathew Varki | Internal Medicine | 5008 Brittonfield Pkwy, East Syracuse, NY 13057-9248 | 2011-03-29 |
| 1710204573 | Aref Agheli | Internal Medicine | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2010-05-03 |
| 1295963361 | Archana C Rao | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057-9248 | 2009-06-29 |
| 1255530911 | Santosh Kumar | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2007-07-13 |
| 1912118647 | Matthew J Karpenko | Internal Medicine | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2007-05-24 |
| 1568676831 | Benny M Wong | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2007-05-09 |
| 1316159601 | Olga D Kligerman | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2007-05-07 |
| 1588776264 | Tarek J Sousou | Internal Medicine | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2006-08-31 |
| Find all providers in EAST SYRACUSE | ||||
| 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.