Individual provider Active NPI

Marc Therrien

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1023443975
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
568620 Issued in NY
Practice address
102 Russet LN
Syracuse, NY 13209-2010
Phone
(315) 263-0526
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 568620 NY Primary

Addresses

Primary practice location

102 Russet LN
Syracuse, NY 13209-2010

Mailing address

102 Russet LN
Syracuse, NY 13209-2010
Phone (315) 263-0526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000593 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860621299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Albany Medical College of Union University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
568620NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Hospital CurrentSince Sep 6, 2017 Accepting new patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Sep 1, 2020 Accepting new patients
Chag Anesthesia PC CurrentSince Sep 23, 2019 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2017 Accepting new patients
Oswego Hospital CurrentSince Sep 6, 2017 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients

Locations

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1023443975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RUSSET LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092010",
            "telephone_number": "315-263-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RUSSET LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092010",
            "telephone_number": "315-263-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "568620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.