Surgical Care West, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

144705 Issued in NY

Legal business name

SURGICAL CARE WEST, PLLC

Practice address

5700 W Genesee St
Ste. 201N
Camillus, NY 13031-3200

Phone

(315) 488-5588

Fax

(315) 488-5892

NPI assigned

Jul 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marianne Dillon, CPC

Title

Office Manager

Phone

(315) 492-5777

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1023440286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "STE. 201N",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-488-5588",
            "fax_number": "315-488-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "STE. 201N",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-488-5588",
            "fax_number": "315-488-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CARE WEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-492-5777",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "144705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Daniel Suffolk III, OD
• Ashley Summerton
• John Sun, DO
• Surgical Associates of Upstate New York, LLP
• Surgical Care East, PLLC
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• Syracuse Orthopedic Specialists, PLLC
• Elisabeth Szakacs, LMT
• Tag Orthodontics PLLC
• John Nikola Talev, MD

• Specialist in Camillus, NY
• Providers in Camillus, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.