GARY RANDALL GREEN (NPI# 1780682336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780682336 |
| Entity Type | Individual |
| Full Name | GARY RANDALL GREEN |
| Credential | MD |
| Practice Address |
750 East Adams St Syracuse NY 13210 |
| Mailing Address |
251 Salina Meadows Pkwy Ste 100 Syracuse NY 13212-4516 |
| Practice Telephone | 3154641800 |
| Practice Fax Number | 3154646238 |
| Mailing Telephone | (315) 464-2000 |
| Mailing Fax Number | 3154642010 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224487 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02256848 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167731 | Gary Lane Green | Counselor | 1232 W Poplar St, Rogers, AR 72756-4246 | 2009-02-21 |
| 1376765222 | Gary Joel Green | Dentist | 4646 Lindell Blvd, Saint Louis, MO 63108-3702 | 2007-05-02 |
| 1770561615 | Gary Lee Green | Internal Medicine | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2006-01-01 |
| 1801896816 | Gary A Green | Podiatrist | 670 Shepard Ln, Suite 102, Farmington, UT 84025-3936 | 2005-08-01 |
| 1427532761 | Gary Green | Counselor | 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328-4933 | 2018-09-22 |
| 1891055687 | Gary Blaine Green | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-5823 | 2012-05-25 |
| 1770876716 | Gary Michael Green | Emergency Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2011-05-24 |
| 1801114657 | Gary Ronald Green | Chiropractor | 2292 W Magee Rd, Suite 170, Tucson, AZ 85742-4301 | 2010-05-04 |
| 1306095393 | Gary Wayne Green | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2008-09-15 |
| 1730372210 | Gary D Green | Counselor | 1820 Central Ave, Hot Springs, AR 71901-6847 | 2007-08-20 |
| Street Address |
750 EAST ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326262 | Hannah Christine Schaly | Physician Assistant | 750 East Adams St, Er Dept., Syracuse, NY 13210-2306 | 2019-10-04 |
| 1518427822 | Eamonn John Murphy | Pharmacist | 750 East Adams St, Pharmacy, Syracuse, NY 13210 | 2019-03-22 |
| 1164905295 | Christina Nicolais | Psychologist | 750 East Adams St, Syracuse, NY 13210 | 2018-09-14 |
| 1861984239 | Zachary Aaron Miller | Physician Assistant | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-06-01 |
| 1134620354 | Lisa M Fiorini | Nurse Practitioner | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-02-22 |
| 1821529751 | Gregory K Sun | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2017-03-22 |
| 1356705537 | Jennalee Cizenski | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2016-04-13 |
| 1730569633 | Rauf Shahbazov | Transplant Surgery | 750 East Adams St, Suite 2w, Syracuse, NY 13210 | 2015-06-05 |
| 1801281688 | Ian Felipe Gallegos Dargon | Internal Medicine | 750 East Adams St, Syracuse, NY 13210 | 2015-03-30 |
| 1477971497 | Kimberly Rush | Pediatrics | 750 East Adams St, Syracuse, NY 13210 | 2014-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104131366 | Suhas V. Pradhan, M.d., P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 725 Irving Ave Ste 514, Syracuse, NY 13210-1683 | 2010-08-12 |
| 1720225436 | Nicholas Steven Yerkes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 Union Ave Ste 804, Syracuse, NY 13203-1844 | 2009-01-16 |
| 1124160841 | William A Burke Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4900 Broad Road Suite 1b, Community General Hospital, Syracuse, NY 13215-2265 | 2007-02-12 |
| 1467456350 | Zhandong Zhou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 Union Ave, Ste 1001-1002, Syracuse, NY 13203 | 2005-06-08 |
| 1306205034 | St. Joseph's Medical PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 Union Ave, Ste 1001-1002, Syracuse, NY 13203-1843 | 2016-02-23 |
| 1396067153 | Najib Safieddine | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 E. Adams St., Syracuse, NY 13210 | 2010-02-22 |
| 1912234527 | Stephen D Waterford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 E Adams St, Syracuse, NY 13210-2306 | 2009-11-03 |
| 1164525416 | Kyril Choumarov | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Ste 4835, Syracuse, NY 13210 | 2006-09-05 |
| 1720009871 | Bruce J Leavitt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 725 Irving Ave, Suite 100, Syracuse, NY 13210 | 2006-07-22 |
| 1124053145 | Richard Sang Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2006-07-11 |
| Find all providers in SYRACUSE | ||||
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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.