Organization Active NPI

Greentree Anesthesia Services, PLLC

  • Anesthesiology Physician
  • East Syracuse, NY
National Provider Identifier
1295977643
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GREENTREE ANESTHESIA SERVICES, PLLC
Practice address
6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373
Phone
(315) 559-0375
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Virginia Ann Nelson, MDNPI 1407909237
Title
Managing Member
Phone
(315) 904-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373

Mailing address

6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373
Phone (315) 559-0375

National Provider Directory

National Provider Directory

Locations

6700 Kirkville Rd
Ste 104
East Syracuse, NY 13057
Phone (315) 559-0375

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1295977643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 104",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579373",
            "telephone_number": "315-559-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 104",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579373",
            "telephone_number": "315-559-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE ANESTHESIA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "315-904-5004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

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

Verify at the official NPI Registry.