Active NPI
Robert S Nolan, MD
- Orthopaedic Surgery Physician
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 235018
- Practice address
- 5100 W Taft Rd Ste 2T
Liverpool, NY 13088-4841 - Phone
- (315) 744-1592
- Fax
- (315) 744-1961
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 235018 | NY | Primary |
Addresses
Primary practice location
5100 W Taft Rd Ste 2T
Liverpool, NY 13088-4841
Mailing address
5100 W Taft Rd Ste 2T
Liverpool, NY 13088-4841
Phone (315) 744-1592
Other practice location 1
104 Union Ave
Ste. 908
Syracuse, NY 13203-1843
Phone (315) 425-0860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02658111 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- State University of Ny Upstate Medical University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 Nelson St
Suite 120
Auburn, NY 13021-1941
Phone (315) 252-7559
Hospital & facility affiliations
- Auburn Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 57 |
| Laminectomy or laminotomy (partial removal of spine bones) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Upstate Neurosurgery LLP | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| St Josephs Medical PC | Orthopaedic Surgery | Current | Accepting new patients |
| Auburn Memorial Medical Services, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Neurosurgical Associates of Central New York, LLP | Current | Accepting new patients | |
| North Medical PC | Orthopaedic Surgery | Current | Accepting new patients |
| Auburn Community Hospital | Current | Accepting new patients | |
| Cny North Urgent Care PLLC | Past | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171
5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
4900 Broad Rd
Ste 1352
Syracuse, NY 13215
Phone (315) 464-4470
104 Union Ave
Ste 908
Syracuse, NY 13203
Phone (315) 425-0860
Interoperability endpoints
- drrnolan@amms.medentdirect.com
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Neurological Surgery Physician
- Syracuse, NY
- NPI 1497788574
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
- NPI 1346384435
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1962901389
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1497720676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W TAFT RD STE 2T",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884841",
"telephone_number": "315-744-1592",
"fax_number": "315-744-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD STE 2T",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884841",
"telephone_number": "315-744-1592",
"fax_number": "315-744-1961"
}
],
"practiceLocations": [
{
"address_1": "104 Union Ave",
"address_2": "Ste. 908",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031843",
"country_code": "US",
"telephone_number": "315-425-0860",
"fax_number": "315-425-0854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "235018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02658111",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.