Upstate Gastroenterology Associates, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

UPSTATE GASTROENTEROLOGY ASSOCIATES, PC

Practice address

2200 Burdett Ave
Troy, NY 12180-2451

Phone

(518) 272-0234

Fax

(518) 272-0906

NPI assigned

Jul 27, 2006

Last updated

May 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederick M Braunstein, MD

Title

Ceo

Phone

(518) 272-1199

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin C Lee, PA

  • Physician Assistant
  • Troy, NY
  • NPI 1144275843
  NPD (past)
• Nicolette Kylie Milligan, PA

  • Physician Assistant
  • Troy, NY
  • NPI 1073456166
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1255355830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-272-0234",
            "fax_number": "518-272-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-272-0234",
            "fax_number": "518-272-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE GASTROENTEROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-272-1199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC9024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mateo John Uhalde
• David Alan Ullman, M.D.
• Unity House of Troy Inc
• Unity House of Troy, Inc.
• Upstate Empire Pathology PLLC
• Upstate Medical Group
• Upstate Medical Group PC
• Upstate Physician Services, PC
• Upstate Physician Services, PC
• Rose Urkevich, RD, CDN

• Gastroenterology Physician in Troy, NY
• Providers in Troy, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.