MARK A MCGURRIN (NPI# 1881773307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881773307 |
| Entity Type | Individual |
| Full Name | MARK A MCGURRIN |
| Credential | MD |
| Practice Address |
104 Union Ave #1005 Syracuse NY 13203 |
| Practice Telephone | 3154240790 |
| Practice Fax Number | 3154750916 |
| Mailing Telephone | 3154240790 |
| Mailing Fax Number | 3154750916 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2166861 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02561677 | 05 |
| Street Address |
104 UNION AVE #1005 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456350 | Zhandong Zhou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 Union Ave, Ste 1001-1002, Syracuse, NY 13203 | 2005-06-08 |
| 1609237304 | St Joseph's Medical PC | Surgery | 104 Union Ave, Ste 1005, Syracuse, NY 13203-1843 | 2016-03-09 |
| 1306205034 | St. Joseph's Medical PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 Union Ave, Ste 1001-1002, Syracuse, NY 13203-1843 | 2016-02-23 |
| 1114303278 | Carly Detor | Nurse Practitioner | 104 Union Ave, Suite 1001-1002, Syracuse, NY 13203-1843 | 2015-07-30 |
| 1336491786 | Marianne Christine Malecki | Physician Assistant | 104 Union Ave, Suite 809, Syracuse, NY 13203-1843 | 2012-10-10 |
| 1902095086 | Samuel S. Badalian Md PC | Obstetrics & Gynecology | 104 Union Ave, Suite 803, Syracuse, NY 13203-0000 | 2007-10-15 |
| 1063540060 | Emily Elizabeth Lopez | Physician Assistant | 104 Union Ave, Suite 1005, Syracuse, NY 13203-1843 | 2007-03-01 |
| 1669547915 | Vascular Surgeons of Central New York, Pllc | Specialist | 104 Union Ave, Ste 1005, Syracuse, NY 13203-1843 | 2006-11-22 |
| 1033289137 | Robert E Carlin | Surgery | 104 Union Ave, #1005, Syracuse, NY 13203 | 2006-11-08 |
| 1861561953 | Lawrence Semel | Surgery | 104 Union Ave, #1005, Syracuse, NY 13203 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1659530343 | Muhammad Asad Khan | Surgery | 104 Union Ave Ste 1005, Syracuse, NY 13203-1846 | 2008-06-06 |
| 1053490045 | Syed N Zaman | Surgery | 104 Union Ave., Suite 1005, Syracuse, NY 13203-2761 | 2006-11-02 |
| 1609237304 | St Joseph's Medical PC | Surgery | 104 Union Ave, Ste 1005, Syracuse, NY 13203-1843 | 2016-03-09 |
| 1134486509 | Anthony Feghali | Surgery | 750 East Adams St, Syracuse, NY 13210 | 2012-04-23 |
| 1942447149 | Kalenda Kasangana | Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2009-01-11 |
| 1609076629 | J Timothy Riley | Surgery | 104 Union Ave., Ste 1005, Syracuse, NY 13203-2761 | 2007-07-18 |
| 1194924647 | Ankur Chawla | Surgery | 750 East Adams St, Syracuse, NY 13210 | 2007-07-15 |
| 1033289137 | Robert E Carlin | Surgery | 104 Union Ave, #1005, Syracuse, NY 13203 | 2006-11-08 |
| 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.