Syntrillo, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SYNTRILLO, INC

Practice address

1904 Fox Run LN
Charlottesville, VA 22901-8833

Phone

(770) 301-2069

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Omar Uribe, MD

Title

Chief Operating Officer

Phone

(678) 508-1130

Specialties & licenses 2

Addresses

Other names 1

• Syntrillo Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, ME2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Theodore T. Faber, M.D.

  • Neurology Physician
  • Chicago, IL
  • NPI 1558372995

  VA

  Medicare reassignment
• Mark Mitchell McDonald, MD

  • Neurology Physician
  • Fort Myers, FL
  • NPI 1366837429

  VA

  Medicare reassignment
• Elizabeth King, OT

  • Occupational Therapist
  • Boca Raton, FL
  • NPI 1851145940
  NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1205693140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W MAIN ST STE 100CW113",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025005",
            "telephone_number": "678-508-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FOX RUN LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018833",
            "telephone_number": "770-301-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTRILLO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "678-508-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syntrillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hasan R Syed, M.D.
• Symmetry PT
• Synapse Therapy, LLC
• Gaurav Kumar Synghal, MD
• Syntrillo Health PC
• Alexander Leon Sytov, MD
• Geraldine Anne Syverud, CRNA
• Scott A. Syverud, M.D.
• Thomas A. Szabo, P.A.
• David E. Szwedo, PH.D.

• Neurology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.