| Syracuse Gastroenterological Associates.pc | |
|
5000 Campuswood Drive Suite 200 East Syracuse NY 13057-1268 | |
| (315) 234-6677 | |
| (315) 234-4805 |
| Full Name | Syracuse Gastroenterological Associates.pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5000 Campuswood Drive, East Syracuse, New York |
| Authorized Official Name and Position | Tabitha Dona (OFFICE MANAGER) |
| Authorized Official Contact | 3152346677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Gastroenterological Associates.pc 5000 Campuswood Drive Suite 200 East Syracuse NY 13057-1268 Ph: (315) 234-6677 | Syracuse Gastroenterological Associates.pc 5000 Campuswood Drive Suite 200 East Syracuse NY 13057-1268 Ph: (315) 234-6677 |
| NPI Number | 1619947843 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 6305814716 |
|---|---|
| Medicare Enrollment ID | O20040923000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619947843 | NPI | - | NPPES |
| 00440157 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David F. Cann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783789 PECOS PAC ID: 1456244466 Enrollment ID: I20040204000437 |
| Provider Name | Mark Troendle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689641094 PECOS PAC ID: 8325937576 Enrollment ID: I20040315000418 |
| Provider Name | Dushyant N Bhatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376547083 PECOS PAC ID: 2961390455 Enrollment ID: I20040413000006 |
| Provider Name | Bryan N Houck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215932017 PECOS PAC ID: 8325036767 Enrollment ID: I20040504000792 |
| Provider Name | Aruna Kode |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124012398 PECOS PAC ID: 9335130673 Enrollment ID: I20040524001074 |
| Provider Name | Thangam T Malaisoodumperumal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265437065 PECOS PAC ID: 6507839917 Enrollment ID: I20040814000065 |
| Provider Name | Rashid A Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942204516 PECOS PAC ID: 0941198436 Enrollment ID: I20040907000841 |
| Provider Name | Jianming Ren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093710899 PECOS PAC ID: 0547237513 Enrollment ID: I20040910000790 |
| Provider Name | Stephen P O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295843514 PECOS PAC ID: 2466418082 Enrollment ID: I20041206000844 |
| Provider Name | Suzanne I Craybas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820034 PECOS PAC ID: 0547218802 Enrollment ID: I20050105000629 |
| Provider Name | Dianne Delaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487621421 PECOS PAC ID: 1153379995 Enrollment ID: I20050107000492 |
| Provider Name | Scott W Wettig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396707394 PECOS PAC ID: 6507806080 Enrollment ID: I20050504000193 |
| Provider Name | Adam R Warnken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568439032 PECOS PAC ID: 2961444724 Enrollment ID: I20050523000966 |
| Provider Name | Young Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831249465 PECOS PAC ID: 1456394022 Enrollment ID: I20050604000053 |
| Provider Name | Sekou R Rawlins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851336366 PECOS PAC ID: 1557305901 Enrollment ID: I20050616000072 |
| Provider Name | Michael Petsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033165626 PECOS PAC ID: 4183657976 Enrollment ID: I20051101000072 |
| Provider Name | Venkatarao Kamani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063416782 PECOS PAC ID: 9931122652 Enrollment ID: I20060109000919 |
| Provider Name | Rachel C Elder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790778868 PECOS PAC ID: 7911990643 Enrollment ID: I20060508000757 |
| Provider Name | David A Inman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437142510 PECOS PAC ID: 1456344191 Enrollment ID: I20060508000790 |
| Provider Name | Margaret H Kowalski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235122318 PECOS PAC ID: 0840200044 Enrollment ID: I20060508000805 |
| Provider Name | Teriza B Shehatou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477548543 PECOS PAC ID: 3476563677 Enrollment ID: I20060629000191 |
| Provider Name | Todd Huber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114087830 PECOS PAC ID: 4082713961 Enrollment ID: I20070618000172 |
| Provider Name | Cheruku B Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437251675 PECOS PAC ID: 7315917424 Enrollment ID: I20070917000165 |
| Provider Name | Heidi Rienhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821299140 PECOS PAC ID: 7315034733 Enrollment ID: I20071101000502 |
| Provider Name | Elizabeth H Oczkowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881621183 PECOS PAC ID: 1355425380 Enrollment ID: I20080228000418 |
| Provider Name | Maria T Araujo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174700462 PECOS PAC ID: 9133203003 Enrollment ID: I20080303000020 |
| Provider Name | Edward L Pieper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275863623 PECOS PAC ID: 1456494509 Enrollment ID: I20100211000420 |
| Provider Name | Christopher P Parisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386682193 PECOS PAC ID: 3577759943 Enrollment ID: I20101124000466 |
| Provider Name | Joseph Perkowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447227848 PECOS PAC ID: 4385833383 Enrollment ID: I20110106000314 |
| Provider Name | Jacob Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063418440 PECOS PAC ID: 8921996422 Enrollment ID: I20110114000830 |
| Provider Name | Maria C Ziemba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780689570 PECOS PAC ID: 0749178242 Enrollment ID: I20110119000897 |
| Provider Name | Dennis W Reedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285614404 PECOS PAC ID: 7618945924 Enrollment ID: I20110120000095 |
| Provider Name | Timothy E Mccall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144224866 PECOS PAC ID: 4486542982 Enrollment ID: I20110203000217 |
| Provider Name | Kenneth Cuda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215904263 PECOS PAC ID: 7012197064 Enrollment ID: I20110208000414 |
| Provider Name | Intikhab Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063650489 PECOS PAC ID: 1456404169 Enrollment ID: I20110415000223 |
| Provider Name | Brian T Pavlovitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912157454 PECOS PAC ID: 0244418994 Enrollment ID: I20110628000208 |
| Provider Name | Elizabeth Teneyck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174810980 PECOS PAC ID: 1355511445 Enrollment ID: I20110829000195 |
| Provider Name | Kathryn S Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518195635 PECOS PAC ID: 8527114545 Enrollment ID: I20120110000202 |
| Provider Name | Mark E Costaldi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770769564 PECOS PAC ID: 4284897901 Enrollment ID: I20120516000561 |
| Provider Name | Adam E Wojdyla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134464068 PECOS PAC ID: 0941442388 Enrollment ID: I20130814000198 |
| Provider Name | Adam M Berg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629251251 PECOS PAC ID: 0042485237 Enrollment ID: I20130830000019 |
| Provider Name | Tracy H Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740402379 PECOS PAC ID: 9436387081 Enrollment ID: I20140106001443 |
| Provider Name | Logan N Airth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598191686 PECOS PAC ID: 2264662832 Enrollment ID: I20140226001410 |
| Provider Name | David Lebec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871569491 PECOS PAC ID: 7810962818 Enrollment ID: I20151201000082 |
| Provider Name | Brian M Duffy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568721280 PECOS PAC ID: 4981992229 Enrollment ID: I20161019001512 |
| Provider Name | Raghava Pavoor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255775102 PECOS PAC ID: 7012234420 Enrollment ID: I20161026001515 |
| Provider Name | Katy Rose Quilter-carr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225441074 PECOS PAC ID: 8123246659 Enrollment ID: I20161117001439 |
| Provider Name | Irene M Nzasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508308545 PECOS PAC ID: 9133400583 Enrollment ID: I20161227001105 |
| Provider Name | Paul Crescenzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124555602 PECOS PAC ID: 2860768090 Enrollment ID: I20171016002789 |
| Provider Name | Kristen L Ryder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013435494 PECOS PAC ID: 0547526444 Enrollment ID: I20171109000747 |
| Provider Name | Matthew R Belan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629114814 PECOS PAC ID: 1456413327 Enrollment ID: I20181008001430 |
| Provider Name | Timothy Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851870562 PECOS PAC ID: 0446595102 Enrollment ID: I20181227001607 |
| Provider Name | David Baum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750648317 PECOS PAC ID: 7719149962 Enrollment ID: I20190122002780 |
| Provider Name | Adnan Huric |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235611096 PECOS PAC ID: 0446599369 Enrollment ID: I20190311001703 |
| Provider Name | Michael P Tennysen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225522956 PECOS PAC ID: 8921349127 Enrollment ID: I20190417001129 |
| Provider Name | Natalya Iorio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164862223 PECOS PAC ID: 1355688961 Enrollment ID: I20191025001477 |
| Provider Name | Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982247177 PECOS PAC ID: 3779918917 Enrollment ID: I20200116002594 |
| Provider Name | Joseph A Sciarrino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427537745 PECOS PAC ID: 6709213275 Enrollment ID: I20200221001207 |
| Provider Name | Kenneth J Cuda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104328186 PECOS PAC ID: 7810324308 Enrollment ID: I20200221002010 |
| Provider Name | Dmitriy A Shanturov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326691130 PECOS PAC ID: 5799112090 Enrollment ID: I20200226002333 |
| Provider Name | Diego A Villamizar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083069496 PECOS PAC ID: 6608112412 Enrollment ID: I20200713001480 |
| Provider Name | Ashley Diane Lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698319 PECOS PAC ID: 9234546482 Enrollment ID: I20210406000541 |
| Provider Name | Lyea Dorae Shine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396346870 PECOS PAC ID: 3577963750 Enrollment ID: I20210609001582 |
| Provider Name | Casey Mitchell Tymko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760910525 PECOS PAC ID: 3274934765 Enrollment ID: I20210622000397 |
| Provider Name | Maham Khalid Sindhu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306441662 PECOS PAC ID: 2961804083 Enrollment ID: I20210713000698 |
| Provider Name | Evan Himchak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245627678 PECOS PAC ID: 9234487026 Enrollment ID: I20211110000314 |
| Provider Name | Michael Bamerick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477209708 PECOS PAC ID: 2466831219 Enrollment ID: I20220624000601 |
| Provider Name | Theresa Fronce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225770209 PECOS PAC ID: 2365822012 Enrollment ID: I20220712001347 |
| Provider Name | Nicholas Granato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558014787 PECOS PAC ID: 3971998840 Enrollment ID: I20221026001943 |
| Provider Name | Jedd Dillman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568098655 PECOS PAC ID: 5092134262 Enrollment ID: I20221206002598 |
| Provider Name | Charlie C Au |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508588484 PECOS PAC ID: 3678938016 Enrollment ID: I20230508001990 |
Erika Marie Hegland Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5000 Brittonfield Pkwy Ste A124, East Syracuse, NY 13057 Phone: 315-218-0430 | |
Cny Internists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5823 Widewaters Pkwy, East Syracuse, NY 13057 Phone: 315-449-4028 Fax: 315-449-2341 | |
Robert C Cupelo Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Brittonfield Pkwy, Suite A124, East Syracuse, NY 13057 Phone: 315-218-0430 | |
Cny Family Care, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4939 Brittonfield Pkwy, East Syracuse, NY 13057 Phone: 315-463-1600 Fax: 315-634-6793 | |
Sonia Y Kragh, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Heritage Landing Dr, Suite C, East Syracuse, NY 13057 Phone: 315-882-6856 Fax: 315-445-2847 |