Individual provider Active NPI

John A Tygart, MD

  • Anesthesiology Physician
  • Syracuse, NY
National Provider Identifier
1346265469
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
164361-1 Issued in NY
Practice address
301 Prospect Ave
Dept of Anesthesia
Syracuse, NY 13203-1807
Phone
(315) 448-5440
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 164361-1 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Dept of Anesthesia
Syracuse, NY 13203-1807

Mailing address

301 Prospect Ave
Dept of Anesthesia
Syracuse, NY 13203-1807
Phone (315) 448-5440

Other identifiers 1

IdentifierTypeStateIssuer
01217409MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000379 NY Practitioner - Anesthesiology 2163589441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164361-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Apr 14, 2018 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jun 2, 2024 Accepting new patients
Camillus Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
North Medical PC Past Accepting new patients
American Anesthesiology of Syracuse, PC Anesthesiology Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

5700 W Genesee St
Ste 11
Camillus, NY 13031
Phone (315) 701-9378

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1346265469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYGART",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "164361-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01217409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.