Active NPI
Greentree Anesthesia Services, PLLC
- Anesthesiology Physician
- East Syracuse, NY
National Provider Identifier
1295977643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Ann Nelson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryLocations
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.
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1407909237
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.