DR. JESSE REED GUTNICK (NPI# 1992948707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992948707 |
| Entity Type | Individual |
| Full Name | DR. JESSE REED GUTNICK |
| Credential | MD |
| Practice Address |
4900 Borad Rd Suite 23 North Syracuse NY 13215 |
| Mailing Address |
18101 Lorain Ave Ste 108 Cleveland OH 44111-5612 |
| Practice Telephone | 3154925036 |
| Practice Fax Number | 3154925477 |
| Mailing Telephone | 2674718747 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 288644 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2015-02325 | NC | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 57.016192 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4900 BORAD RD SUITE 23 NORTH |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1306093141 | Amy Edwards Wenner | Audiologist | 4424 Dolomite Drive, Syracuse, NY 13215 | 2008-08-23 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1326329905 | Ransford Commey | Surgery | 104 Union Ave Ste 809, Syracuse, NY 13203 | 2011-09-08 |
| 1124319249 | Sheryl E Uyeda | Surgery | 750 East Adams Ste Ste 4835, Syracuse, NY 13210 | 2011-04-23 |
| 1003135310 | Lisa Marie Lai | Surgery | 750 East Adams St Ste 4835, Syracuse, NY 13210 | 2010-05-26 |
| 1710914932 | Marshall Ray Kenoyer | Surgery | 700 North Huser, Syracuse, KS 67878-1278 | 2006-06-26 |
| 1063465847 | John Douglas Fey | Surgery | 800 Irving Avenue, Dept. of Surgery (112), Syracuse Va Medical Center, Syracuse, NY 13210 | 2006-05-19 |
| 1104877216 | David B Tyler | Surgery | 739 Irving Avenue, Suite 450, Syracuse, NY 13210 | 2006-05-13 |
| 1215903844 | Thomas Jefferson Vandermeer | Surgery | 750 East Adams St., Syracuse, NY 13210 | 2006-02-24 |
| 1336143155 | Joel M Rosenberg | Surgery | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2005-06-09 |
| 1023421625 | Beata Belfield | Surgery | 301 Prospect Ave, Syracuse, NY 13203-1899 | 2014-06-11 |
| 1487072146 | Lauren Alyson Rabach | Surgery | 750 East Adams St, Syracuse, NY 13210 | 2014-03-31 |
| 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.