SYRACUSE ORTHOPEDIC SPECIALISTS, P.C. (NPI# 1861562829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861562829 |
| Entity Type | Organization |
| Organization Name | SYRACUSE ORTHOPEDIC SPECIALISTS, P.C. |
| Practice Address |
4115 Medical Center Dr Fayetteville NY 13066-6636 |
| Mailing Address |
5824 Widewaters Pkwy East Syracuse NY 13057-3072 |
| Practice Telephone | 3153297600 |
| Practice Fax Number | 3153297608 |
| Mailing Telephone | 3152513105 |
| Mailing Fax Number | 3154499923 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | SETH GREENKY (PRESIDENT) |
| Authorized Official Telephone | 3152513100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275603227 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 4888 W Taft Rd, Liverpool, NY 13088-4810 | 2006-11-08 |
| 1013087071 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 5801 E Taft Rd, Syracuse, NY 13212-3291 | 2006-11-08 |
| 1265511067 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 5000 W Seneca Tpke, Syracuse, NY 13215 | 2006-11-03 |
| 1336219393 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 5700 W Genesee St, Camillus, NY 13031-3200 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SYRACUSE ORTHOPEDIC SPECIALISTS, P.C. | 5824 Widewaters Pkwy, East Syracuse, NY 13057-3072 |
| Street Address |
4115 MEDICAL CENTER DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346060 | Brett B Greenky | Orthopaedic Surgery | 4115 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-04-19 |
| 1144288630 | Jill M. Johnstone | Physician Assistant | 4115 Medical Center Dr, Suite 115, Fayetteville, NY 13066-6636 | 2006-05-03 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 1548886450 | Care Medical Atlanta LLC | Durable Medical Equipment & Medical Supplies | 122 Robinson Ct, Fayetteville, GA 30214-6935 | 2020-06-17 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1154961472 | Zion Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 315, Fayetteville, GA 30214-7727 | 2020-01-14 |
| 1497314249 | Dme By Preventive Health Care Usa LLC | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 211, Fayetteville, GA 30214-7726 | 2019-06-06 |
| 1235696543 | Medic Rental Inc | Durable Medical Equipment & Medical Supplies | 3533 N Shiloh Dr Ste 4, Fayetteville, AR 72703-5317 | 2019-02-22 |
| 1720558893 | Broadband Innovation Group | Durable Medical Equipment & Medical Supplies | 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491 | 2018-11-30 |
| 1508340464 | American Access and Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1107 Four Wood Dr, Fayetteville, NC 28312-7227 | 2018-09-17 |
| 1629568506 | Kimberly Mcgaughey | Durable Medical Equipment & Medical Supplies | 1430 N Bernice Dr, Fayetteville, AR 72703-6084 | 2018-05-16 |
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on SYRACUSE ORTHOPEDIC SPECIALISTS, P.C..
| 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.