Active NPI
Rome Surgical Group LLC
- Surgery Physician
- Rome, NY
National Provider Identifier
1467448951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROME SURGICAL GROUP LLC
- Practice address
- 7900 Turin Rd
BLDG 2 Suite 3
Rome, NY 13440-1900 - Phone
- (315) 337-0202
- Fax
- (315) 337-8188
- NPI assigned
- Sep 21, 2005
- 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
- Beth A Bulawa, MD
- Title
- Partner
- Phone
- (315) 337-0202
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7900 Turin Rd
BLDG 2 Suite 3
Rome, NY 13440-1900
Mailing address
PO Box 2003
East Syracuse, NY 13057-4503
Phone (315) 446-3904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01976787 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1467448951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2003",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574503",
"telephone_number": "315-446-3904",
"fax_number": "315-445-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 TURIN RD",
"address_2": "BLDG 2 SUITE 3",
"city": "ROME",
"state": "NY",
"postal_code": "134401900",
"telephone_number": "315-337-0202",
"fax_number": "315-337-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROME SURGICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "BULAWA",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "315-337-0202",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01976787",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.