Active NPI
Syracuse Orthopedic Specialists, P.C.
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
National Provider Identifier
1265511067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SYRACUSE ORTHOPEDIC SPECIALISTS, P.C.
- Practice address
- 5000 W Seneca Tpke
Syracuse, NY 13215 - Phone
- (315) 251-3100
- Fax
- (315) 449-9923
- NPI assigned
- Nov 3, 2006
- Last updated
- Apr 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Humphrey
- Title
- Ceo
- Phone
- (315) 251-3106
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Orthopaedic Surgery Physician | 207X00000X | NU |
Addresses
Primary practice location
5000 W Seneca Tpke
Syracuse, NY 13215
Mailing address
5719 Widewaters Pkwy
Syracuse, NY 13214-1880
Phone (315) 251-3100
National Provider Directory
National Provider DirectoryLocations
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- De Witt, NY
- NPI 1124083480
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1134124944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1265511067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 WIDEWATERS PKWY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141880",
"telephone_number": "315-251-3100",
"fax_number": "315-449-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W SENECA TPKE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13215",
"telephone_number": "315-251-3100",
"fax_number": "315-449-9923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYRACUSE ORTHOPEDIC SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "HUMPHREY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "315-251-3106"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
- Syracuse Hematology Oncology PC
- Syracuse Jewish Family Service
- Syracuse Medical of New York LLC
- Syracuse Model Neighborhood Facility, Inc (Family Planning Service of OCHD)
- Syracuse Neurology, PLLC
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PLLC
- Syracuse Orthopedic Specialists, PLLC
- Syracuse Otolaryngology PLLC (Center For Specialty Medicine And Surgery LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.