NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC (NPI# 1992032429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992032429 |
| Entity Type | Organization |
| Organization Name | NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC |
| Other Organization Name | NEW YORK SPINE AND WELLNESS CENTER |
| Practice Address |
5719 Widewaters Pkwy Syracuse NY 13214-1985 |
| Mailing Address |
Po Box 510 Syracuse NY 13214-0510 |
| Practice Telephone | 3157033480 |
| Practice Fax Number | 3157033481 |
| Mailing Telephone | 3157033480 |
| Mailing Fax Number | 3157033481 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | ROBERT TISO (DIRECTOR) |
| Authorized Official Telephone | 3155526700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| New York Spine and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029815 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 6430 Transit Rd, Suite 300, Depew, NY 14043-1033 | 2015-12-10 |
| 1770958100 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 | 2015-12-10 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| Street Address |
5719 WIDEWATERS PKWY |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1700486065 | Heather M. Stamour | Nurse Practitioner | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2020-10-27 |
| 1962062364 | Onondaga Orthopedics LLP | Durable Medical Equipment & Medical Supplies | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2019-06-18 |
| 1548711583 | Laura Yasuko Goodwell-velez | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1811448855 | Laurance Goodwin IIi | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1326486754 | Nicole I. Jones | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-06-07 |
| 1821330176 | Anthony M Orio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-03-25 |
| 1790036697 | Marvin Balmir | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2012-10-02 |
| 1295093763 | Cassandra Riggs | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214 | 2012-05-02 |
| 1275845760 | Melissa A Cullinan | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| 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 |
|---|---|---|---|---|
| 1578199212 | Gregory Ayers | Durable Medical Equipment & Medical Supplies | 105 Kramer Dr, Syracuse, NY 13207-2720 | 2020-03-13 |
| 1548759095 | West Fayette Drugs LLC | Durable Medical Equipment & Medical Supplies | 713a W Fayette St, Syracuse, NY 13204-2902 | 2018-05-09 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1750735692 | Bcl Medical, LLC | Durable Medical Equipment & Medical Supplies | 2146 W 1100 S, Syracuse, UT 84075-6991 | 2016-04-18 |
| 1407200629 | Burnet Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3056 Burnet Ave, Suites 3 & 4, Syracuse, NY 13206-2571 | 2016-04-14 |
| 1568883221 | Ultra Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 404 N Midler Ave, Syracuse, NY 13206-1825 | 2013-12-26 |
| 1609102896 | Glottal Enterprises | Durable Medical Equipment & Medical Supplies | 1201 E Fayette St, Suite #15, Syracuse, NY 13210-1953 | 2009-10-23 |
| 1659504942 | Andrew Michael Venditti | Durable Medical Equipment & Medical Supplies | 2544 Erie Blvd E, Syracuse, NY 13224-1110 | 2009-09-02 |
| 1306075114 | People First Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 2610 S Salina St, Suite 7, Syracuse, NY 13205-1512 | 2009-07-14 |
| 1811133820 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 300 Gateway Park Dr Ste 3, Syracuse, NY 13212-3755 | 2008-12-22 |
| 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.