| Thomas G Green, MD | |
|
736 Irving Ave, Syracuse, NY 13210-1687 | |
| (315) 470-7551 | |
| (315) 470-2719 |
| Full Name | Thomas G Green |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 736 Irving Ave, Syracuse, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689672057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 213590 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adirondack Medical Center | Saranac lake, NY | Hospital |
| Crouse Hospital | Syracuse, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crouse Radiology Associates Llp | 1850387648 | 112 |
| Millennium Medical Imaging Pc | 5799776910 | 29 |
| Medical Imaging Center Llp | 7911991831 | 38 |
| Entity Name | Medical Imaging Center Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153671 PECOS PAC ID: 7911991831 Enrollment ID: O20040413001415 |
| Entity Name | Crouse Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447244587 PECOS PAC ID: 1850387648 Enrollment ID: O20040426000762 |
| Entity Name | Millennium Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
| Entity Name | Seaway Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124012018 PECOS PAC ID: 6305837584 Enrollment ID: O20040518001496 |
| Entity Name | Ali M Gharagozloo Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831182633 PECOS PAC ID: 0446228472 Enrollment ID: O20040917000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Green, MD 5008 Brittonfield Pkwy, Suite 100, East Syracuse, NY 13057-9248 Ph: (315) 234-7600 | Thomas G Green, MD 736 Irving Ave, Syracuse, NY 13210-1687 Ph: (315) 470-7551 |
James E Suchnicki, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 | |
Dr. Thomas Kaysee Chacko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 Fax: 315-470-2719 | |
Dr. Neil F Mariados, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-3468 Fax: 315-214-2840 | |
Seung Shin Hahn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Genesee St, Suite 101, Syracuse, NY 13210 Phone: 315-476-3535 Fax: 315-476-4140 | |
David Jonathan Pinter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Rm 3416, Syracuse, NY 13210 Phone: 315-464-7439 Fax: 315-464-7494 | |
Dr. Ja Kwei Chang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, 3rd Floor Radiology, Syracuse, NY 13210 Phone: 315-464-6672 | |
John P Marangola, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 306 Sedgwick Dr, Syracuse, NY 13203 Phone: 315-472-5465 |