Individual provider Active NPI

Ian Edward Gilchriest

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1245891936
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
024389 Issued in NY
Practice address
101 Terraceview Rd
Syracuse, NY 13214-1209
Phone
(315) 882-4507
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024389 NY
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 024389 NY Primary

Addresses

Primary practice location

101 Terraceview Rd
Syracuse, NY 13214-1209

Mailing address

101 Terraceview Rd
Syracuse, NY 13214-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200103000986 NY Practitioner - Physician Assistant 0143654947 Reassigns benefits to 2 organizations
I20220830003302 PA Practitioner - Physician Assistant 0143654947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

271 Grant Ave
Suite 100
Auburn, NY 13021-1407
Phone (315) 704-6097

290 Eastern Blvd
Canandaigua, NY 14424-2225
Phone (585) 412-5630

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024389NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2023 Accepting new patients
Jefferson University Physicians Emergency Medicine CurrentSince Apr 19, 2022 Accepting new patients
New York University Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1245891936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TERRACEVIEW RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TERRACEVIEW RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141209",
            "telephone_number": "315-882-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIEST",
        "first_name": "IAN",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024389",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "024389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.