Upstate Family and Preventive Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC

Practice address

475 Irving Ave
Suite 200
Syracuse, NY 13210

Phone

(315) 464-4686

Fax

(315) 464-7106

NPI assigned

Dec 3, 2015

Last updated

Dec 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Epling

Title

Chairman

Phone

(315) 464-4686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wisam Al-Mutawalli, MD

  • Family Medicine Physician
  • Camillus, NY
  • NPI 1164005526
  Medicare reassignment Care Compare group NPD
• Maryanne O Arienmughare, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1366684300
  Medicare reassignment Care Compare group NPD
• Edgardo Arrazola, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1427617240
  Medicare reassignment Care Compare group NPD
• Bushra Atta Ur Rehman

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1730641564
  Medicare reassignment Care Compare group NPD
• R. Eugene Bailey, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1568480903
  Medicare reassignment Care Compare group NPD
• Catherine Elizabeth Beer, FNP-C

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1518798263
  Medicare reassignment Care Compare group NPD
• Paula Maria Brooks, M.D.

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1235285206
  Medicare reassignment Care Compare group NPD
• Elizabeth H Cerroni, DNP

  • Family Nurse Practitioner
  • Camillus, NY
  • NPI 1467245431
  Medicare reassignment Care Compare group NPD
• James E Edinger, MD

  • Family Medicine Physician
  • Tully, NY
  • NPI 1457339756
  Medicare reassignment Care Compare group NPD
• Ghada Fadel, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1407590995
  Medicare reassignment Care Compare group NPD
• Sonia Germain, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1932785953
  Medicare reassignment Care Compare group NPD
• James L Greenwald, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1093733859
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1073988911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-464-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-4686",
            "fax_number": "315-464-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "EPLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "315-464-4686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Vesna Untanu, M.D.
• Molly Upah
• Updesign Primary Care, LLC
• Upstate Community Medical, PC
• Upstate Emergency Medicine, Inc
• Upstate Gastroenterology, LLC
• Upstate Medical Anesthesiology Group, Inc.
• Upstate Medical Center
• Upstate Medical Professionals, PC
• Upstate Medical University

• Family Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.