SURGICAL ASSOCIATES OF UTICA, PC (NPI# 1972690196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972690196 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF UTICA, PC |
| Practice Address |
2206 Genesee St Utica NY 13502-5829 |
| Practice Telephone | 3157973430 |
| Practice Fax Number | 3156247383 |
| Mailing Telephone | 3157973430 |
| Mailing Fax Number | 3156247383 |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARILYN A GUGNACKI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3157973430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
316886 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2206 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164411567 | Fayez Chahfe | Otolaryngology | 2206 Genesee St, Suite 301, Utica, NY 13502-5829 | 2005-10-18 |
| 1407108780 | Fayez Fadi Chahfe | Audiologist | 2206 Genesee St, Suite 301, Utica, NY 13502-5829 | 2012-10-10 |
| 1841549508 | Alyssia M Lloyd | Nurse Practitioner | 2206 Genesee St, Suite 101, Utica, NY 13502 | 2012-09-09 |
| 1255618203 | Allergy Care Pllc | Allergy & Immunology | 2206 Genesee St, Suite 303, Utica, NY 13502-5829 | 2011-11-04 |
| 1891906210 | H Joseph Obeid, Md | Otolaryngology | 2206 Genesee St, Suite 301, Utica, NY 13502-5829 | 2007-05-25 |
| 1255542650 | Fayez F. Chahfe, M.d. | Otolaryngology | 2206 Genesee St, Suite 301, Utica, NY 13502-5829 | 2007-05-25 |
| 1033251277 | Kimberly C Keane | Audiologist | 2206 Genesee St, Suite 301, Utica, NY 13502-5829 | 2007-02-13 |
| 1649311051 | Allergycare Pllc | Internal Medicine | 2206 Genesee St, Ste 101, Utica, NY 13502-5836 | 2007-02-09 |
| 1700974151 | David Darmody | Physician Assistant | 2206 Genesee St, Suite 304, Utica, NY 13502-5829 | 2006-10-11 |
| 1720068455 | Kenneth D Novak | Ophthalmology | 2206 Genesee St, Suite 206, Utica, NY 13502-5829 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| 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 |
|---|---|---|---|---|
| 1881826956 | Ralph Paul Ferenchak | Surgery | 1676 Sunset Ave, Utica, NY 13502-5416 | 2009-08-21 |
| 1053491936 | Mario Carrillo | Surgery | 1676 Sunset Ave, 4th Floor, Utica, NY 13502 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 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 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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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.