| Upstate Family And Preventive Medicine, Inc | |
|
475 Irving Ave Suite 200 Syracuse NY 13210 | |
| (315) 464-4686 | |
| (315) 464-7106 |
| Full Name | Upstate Family And Preventive Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 475 Irving Ave, Syracuse, New York |
| Authorized Official Name and Position | John Epling (CHAIRMAN) |
| Authorized Official Contact | 3154644686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Family And Preventive Medicine, Inc 251 Salina Meadows Pkwy Suite 100 Syracuse NY 13212 Ph: (315) 464-2014 | Upstate Family And Preventive Medicine, Inc 475 Irving Ave Suite 200 Syracuse NY 13210 Ph: (315) 464-4686 |
| NPI Number | 1073988911 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/04/2015 |
| Medicare PECOS PAC ID | 6800185711 |
|---|---|
| Medicare Enrollment ID | O20160517000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073988911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
| Provider Name | Igor A Kraev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255320891 PECOS PAC ID: 5193719177 Enrollment ID: I20040413000273 |
| Provider Name | Kaushal B Nanavati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598788382 PECOS PAC ID: 8820072366 Enrollment ID: I20040622001592 |
| Provider Name | Paraskos Araouzos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316938830 PECOS PAC ID: 6002876315 Enrollment ID: I20041012000763 |
| Provider Name | Alida A De Jong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013912153 PECOS PAC ID: 2163489808 Enrollment ID: I20041215000014 |
| Provider Name | Amruthur Gita Ramamurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205894722 PECOS PAC ID: 7113945049 Enrollment ID: I20051109000156 |
| Provider Name | Clyde H Satterly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760428908 PECOS PAC ID: 0941207518 Enrollment ID: I20061025000297 |
| Provider Name | Laurence Torpey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376500819 PECOS PAC ID: 8921192550 Enrollment ID: I20070913000355 |
| Provider Name | Stephen D Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740254242 PECOS PAC ID: 1759450570 Enrollment ID: I20080520000612 |
| Provider Name | R Eugene Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568480903 PECOS PAC ID: 2466466271 Enrollment ID: I20100111000007 |
| Provider Name | John W Epling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982622429 PECOS PAC ID: 3173537982 Enrollment ID: I20100111000011 |
| Provider Name | James L Greenwald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093733859 PECOS PAC ID: 8628082435 Enrollment ID: I20100111000016 |
| Provider Name | James E Edinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457339756 PECOS PAC ID: 8729086210 Enrollment ID: I20100127000133 |
| Provider Name | Michael B Lax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750399978 PECOS PAC ID: 2264446079 Enrollment ID: I20100524000599 |
| Provider Name | Sarah C Devendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750694881 PECOS PAC ID: 3779762125 Enrollment ID: I20110201000276 |
| Provider Name | Elizabeth G Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053414250 PECOS PAC ID: 1254509490 Enrollment ID: I20110714000358 |
| Provider Name | Dainelle S Kich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982962460 PECOS PAC ID: 3375790389 Enrollment ID: I20120827000717 |
| Provider Name | Nicole E Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366795551 PECOS PAC ID: 9436302437 Enrollment ID: I20121224000007 |
| Provider Name | Brittney Pfohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149737 PECOS PAC ID: 7214174580 Enrollment ID: I20130503000238 |
| Provider Name | Cinthia L Elkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942462957 PECOS PAC ID: 0648442046 Enrollment ID: I20131003000454 |
| Provider Name | Heather Finn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225327646 PECOS PAC ID: 4688996358 Enrollment ID: I20141208001778 |
| Provider Name | Paula Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235285206 PECOS PAC ID: 6709185614 Enrollment ID: I20160427001989 |
| Provider Name | Catherine Fessenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063949816 PECOS PAC ID: 8921372707 Enrollment ID: I20170918001083 |
| Provider Name | Annamaria C Arias-denley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114333887 PECOS PAC ID: 3870868102 Enrollment ID: I20171012000270 |
| Provider Name | Kerry L Goessling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550783 PECOS PAC ID: 0840559647 Enrollment ID: I20180124003368 |
| Provider Name | Raechel Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265945620 PECOS PAC ID: 5597025585 Enrollment ID: I20180213001028 |
| Provider Name | Joseph A Cincotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477516078 PECOS PAC ID: 6800700550 Enrollment ID: I20181102000165 |
| Provider Name | Maryanne O Arienmughare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366684300 PECOS PAC ID: 9931365897 Enrollment ID: I20190807003600 |
| Provider Name | Abigail Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174178859 PECOS PAC ID: 9830421759 Enrollment ID: I20191025002467 |
| Provider Name | Rupali Singla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046508 PECOS PAC ID: 8022392372 Enrollment ID: I20191218003222 |
| Provider Name | Alexander C Hensel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790316305 PECOS PAC ID: 5597193789 Enrollment ID: I20200323000977 |
| Provider Name | Carla Wingate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124662713 PECOS PAC ID: 7517396849 Enrollment ID: I20200407002022 |
| Provider Name | Sana Aaron Zekri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371624 PECOS PAC ID: 1951735323 Enrollment ID: I20201013002741 |
| Provider Name | Mary P Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437646692 PECOS PAC ID: 9537412572 Enrollment ID: I20210616003315 |
| Provider Name | Payton Maryjean Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285244277 PECOS PAC ID: 1557765989 Enrollment ID: I20210809000047 |
| Provider Name | Makayla Flath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159867 PECOS PAC ID: 1355748161 Enrollment ID: I20210921003472 |
| Provider Name | Edgardo Arrazola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427617240 PECOS PAC ID: 9638557705 Enrollment ID: I20220601001387 |
| Provider Name | Kyrsten K Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407317472 PECOS PAC ID: 6305228198 Enrollment ID: I20220726001942 |
| Provider Name | Rahila Iftikhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548825698 PECOS PAC ID: 5496138760 Enrollment ID: I20220818003215 |
| Provider Name | Bushra Atta Ur Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730641564 PECOS PAC ID: 3971986167 Enrollment ID: I20220822001350 |
| Provider Name | Akifa Nazim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285197632 PECOS PAC ID: 7618333881 Enrollment ID: I20230512000655 |
| Provider Name | Reza Hosseini |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467941013 PECOS PAC ID: 5294080883 Enrollment ID: I20230711000259 |
| Provider Name | Jacey M Pudney |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720630064 PECOS PAC ID: 9234584111 Enrollment ID: I20231012001897 |
Updesign Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 812 State Fair Blvd Ste 2a, Syracuse, NY 13209 Phone: 315-256-0490 Fax: 315-887-4240 | |
Suny Upstate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Presidential Plz, Syracuse, NY 13202 Phone: 315-464-3833 | |
Gianna Of Syracuse Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Chapel Dr., Syracuse, NY 13219 Phone: 585-310-8787 | |
St. Camillus Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Fay Rd, Syracuse, NY 13219 Phone: 315-488-2951 Fax: 315-488-7734 | |
Paul S Cohen, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 E Genesee St Ste 500, Syracuse, NY 13210 Phone: 315-471-8388 Fax: 315-471-8019 | |
Ima Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 Canal St, Syracuse, NY 13210 Phone: 315-478-1977 Fax: 315-428-9233 |