Thrive Health Medical Services PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THRIVE HEALTH MEDICAL SERVICES PC

Practice address

3400 Vickery Rd
North Syracuse, NY 13212-4526

Phone

(310) 363-8757

Fax

(310) 363-8758

NPI assigned

Nov 13, 2024

Organization subpart

Yes

Parent organization

THRIVE HEALTH IV CLINIC, P.C.As reported in NPPES

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

Authorized official

Name

Raymond Douglas, MDNPI 1124041959

Title

President

Phone

(310) 363-8757

Specialties & licenses 2

Addresses

Other names 1

• Thrive Health IV Clinic, P.C. Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

Thrive Health IV Clinic PC

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert H Hill III, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Syracuse, NY
  • NPI 1891951455
  Medicare reassignment Care Compare group NPD
• George Salloum, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
  • NPI 1003107400
  Medicare reassignment Care Compare group NPD
• Raymond S Douglas, MD, PHD

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1124041959
  NPD Authorized official
• Thomas A Bersani, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
  • NPI 1083614226
  NPD (past)
• Bryant Paul Carruth, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
  • NPI 1760645790
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1144044496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-636-8757",
            "fax_number": "310-363-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 VICKERY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124526",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HEALTH MEDICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIVE HEALTH IV CLINIC, P.C.",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-363-8757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Health IV Clinic, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Templar, DPT
• Thomas F Mahar DDS PC
• Christa Thomas, MA, LMFT
• Pedro Thomas, DMD
• Anna-Kay Kerry Thompson
• Peter E Tibbetts, OD
• Robert L Tiso, MD
• Melissa Torrez, N.P.
• Total Chiropractic of North Syracuse PLLC
• Amy Sue Trivison, LPN LICENSE # 275747

• Multi-Specialty Clinic/Center in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.