Ryan Christopher Sidebottom (NPI# 1508178914, PAC ID# 1355656398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1508178914 |
| PAC ID by PECOS | 1355656398 |
| Professional Enrollment ID | I20150819008407 |
| Full Name | Ryan Christopher Sidebottom |
| Organization Legal Name | UPSTATE UROLOGY, INC. |
| Address |
750 E Adams St Syracuse NY 13210-2342 |
| Phone Number | 3154646106 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1254492952 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330235 | AUBURN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17 E Genesee St, Suite 303, Auburn, NY 13021-4045 | 3152531850 | AUBURN MEMORIAL MEDICAL SERVICES PC |
| 750 E Adams St, Syracuse, NY 13210-2342 | 3154646106 | UPSTATE UROLOGY, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 85% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | UPSTATE UROLOGY, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitriy Nikolavsky | Urology | Upstate Urology, Inc. | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Ruben M Pinkhasov | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Christine M Feliu | Nurse Practitioner | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Joseph M Jacob | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| J C Trussell | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Natasha Ginzburg | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Rakesh V Khanna | Urology | Upstate Urology, Inc. | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Imad S Nsouli | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Gennady Bratslavsky | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Sarah L Eanniello | Nurse Practitioner | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip | 13210-2342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Hansen | Endocrinology | Pediatric Service Group | 750 E Adams St, Syracuse, NY 13210-2306 |
| Frances I Swiecki | Nurse Practitioner | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 750 E Adams St, Syracuse, NY 13210-2306 |
| Christopher M Curtiss | Pathology | University Pathologists Laboratories, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Christopher T Tanski | Emergency Medicine | Upstate Emergency Medicine, Inc | 750 E Adams St, Syracuse, NY 13210-2342 |
| Cody J Estler | Anesthesiology | Upstate Medical Anesthesiology Group Inc | 750 E Adams St, Syracuse, NY 13210-2306 |
| Matthew D Thornton | Pediatric Medicine | Upstate Emergency Medicine, Inc | 750 E Adams St, Syracuse, NY 13210-2342 |
| Jonathan Conlon | Physician Assistant | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 750 E Adams St, Syracuse, NY 13210-2306 |
| David G Elbert | Certified Registered Nurse Anesthetist (crna) | Upstate Medical Anesthesiology Group Inc | 750 E Adams St, Syracuse, NY 13210-2306 |
| Rahul Seth | Hematology/oncology | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 750 E Adams St, Syracuse, NY 13210-2306 |
| Brenda Geloff | Physician Assistant | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 750 E Adams St, Syracuse, NY 13210-2306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna E Albert | Physical Therapy | Peterson and Nellis Physical Therapy PC | 207 Pine St, Syracuse, NY 13210-1137 |
| Samah O Mohiuddin | Neurology | 1101 Erie E Blvd, Suite 204, Syracuse, NY 13210-1144 | |
| Paige C Ouimette | Psychologist, Clinical | 1101 Erie Blvd E, Suite 206, Syracuse, NY 13210-1144 | |
| Janet E Jaffe | Psychologist, Clinical | 1101 Erie E Blvd, Suite 207, Syracuse, NY 13210-1144 | |
| Rabia Rizwana | Neurology | 1101 Erie Blvd E, Suite 204, Syracuse, NY 13210-1144 | |
| Allan Yozawitz | Clinical Psychologist | 1101 Erie Blvd E, Syracuse, NY 13210-1144 | |
| Charles A Mango | Ophthalmology | 1101 Erie Blvd E, Suite 210, Syracuse, NY 13210-1148 | |
| Rajan Murthy | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 109 Pine St, Syracuse, NY 13210-1149 |
| Cathy J Berry | Obstetrics/gynecology | 101 Pine St, Syracuse, NY 13210-1149 | |
| Mary E Woiler | Nurse Practitioner | Cathy J. Berry, M.d., P.C. | 101 Pine St, Syracuse, NY 13210-1149 |
| Find all physicians in zip 13210 | |||
| City | SYRACUSE |
| Zip Code | 13210 |
| Specialty | UROLOGY |
| City + Specialty | SYRACUSE + UROLOGY |
Please comment or provide details below to improve the information on Ryan Christopher Sidebottom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.