Active NPI
Amy R Petrie, M.D.
- Obstetrics & Gynecology Physician
- East Syracuse, NY
National Provider Identifier
1154546000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 243100
- Practice address
- 5800 Heritage Landing Dr
Suite C
East Syracuse, NY 13057-9378 - Phone
- (315) 445-2701
- Fax
- (315) 445-2847
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 243100 | NY | Primary |
Addresses
Primary practice location
5800 Heritage Landing Dr
Suite C
East Syracuse, NY 13057-9378
Mailing address
5800 Heritage Landing Dr
Suite C
East Syracuse, NY 13057-9378
Phone (315) 445-2701
Other names 1
- Amy Ruth Sadowitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243100 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1154546000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR",
"address_2": "SUITE C",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-445-2701",
"fax_number": "315-445-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR",
"address_2": "SUITE C",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-445-2701",
"fax_number": "315-445-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "AMY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "243100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SADOWITZ",
"middle_name": "RUTH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.