Organization Active NPI

Beth Houck MD LLC

  • Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1184971897
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
186424 Issued in NY
Legal business name
BETH HOUCK MD LLC
Practice address
475 Irving Ave
Suite 406
Syracuse, NY 13210-1756
Phone
(315) 671-5310
Fax
(315) 671-5304
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Beth Marie Houck, MD
Title
Provider
Phone
(315) 671-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 186424 NY Primary

Addresses

Primary practice location

475 Irving Ave
Suite 406
Syracuse, NY 13210-1756

Mailing address

475 Irving Ave
Suite 406
Syracuse, NY 13210-1756
Phone (315) 671-5310

National Provider Directory

National Provider Directory

Locations

475 Irving Ave
Ste 406
Syracuse, NY 13210
Phone (315) 471-8404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4814/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1184971897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 406",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-671-5310",
            "fax_number": "315-671-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 406",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-671-5310",
            "fax_number": "315-671-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH HOUCK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "315-671-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "186424",
            "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 Aug 13, 2012; 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.