Active NPI
Lawrence S Scimone, P.A.
- Medical Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002497
- Practice address
- 301 Prospect Ave
Clinical Affiliates Office
Syracuse, NY 13203-1807 - Phone
- (315) 448-2713
- Fax
- (315) 448-3548
- NPI assigned
- Nov 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Medical Physician Assistant | 363AM0700X | 002497 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Clinical Affiliates Office
Syracuse, NY 13203-1807
Mailing address
301 Prospect Ave
Clinical Affiliates Office
Syracuse, NY 13203-1807
Phone (315) 448-2713
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Health Systems, Inc | Current | Accepting new patients | |
| St. Joseph'S Pathology, PC | Current | Accepting new patients | |
| St Joseph'S Hospital Health Center | Surgical | Current | Accepting new patients |
| Vascular Surgeons of Central New York, PLLC | Past | Accepting new patients |
Locations
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Specialist
- Syracuse, NY
- NPI 1669547915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1497820740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"address_2": "CLINICAL AFFILIATES OFFICE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-2713",
"fax_number": "315-448-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"address_2": "CLINICAL AFFILIATES OFFICE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-2713",
"fax_number": "315-448-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIMONE",
"first_name": "LAWRENCE",
"middle_name": "S",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "002497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.