Michael B Lax (NPI# 1750399978, PAC ID# 2264446079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750399978 |
| PAC ID by PECOS | 2264446079 |
| Professional Enrollment ID | I20100524000599 |
| Full Name | Michael B Lax |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Address |
6712 Brooklawn Pkwy Suite 204 Syracuse NY 13211-2158 |
| Phone Number | 3154328899 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800185711 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 | 3154328899 | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alida A De Jong | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Catherine Fessenden | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| James L Greenwald | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Annamaria C Arias | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Abigail Brunner | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 208 Township Blvd, Camillus, NY 13031-1674 |
| Heather Finn | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Igor A Kraev | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Raechel Dick | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Joseph A Cincotta | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| R Eugene Bailey | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Street Address |
6712 BROOKLAWN PKWY SUITE 204 |
| City | SYRACUSE |
| State | NY |
| Zip | 13211-2158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacque C Millar | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Covington | Psychologist, Clinical | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | |
| Margaret A Miller | Chiropractic | 5858 E Molloy Rd, Suite 155, Syracuse, NY 13211-2008 | |
| Douglas G Brown | Qualified Audiologist | 5992 E Molloy Rd, Syracuse, NY 13211-2130 |
| City | SYRACUSE |
| Zip Code | 13211 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SYRACUSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael B Lax.
| 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.