Organization Active NPI

Firooz Ravangard, MD PC

  • Obstetrics & Gynecology Physician
  • Utica, NY
National Provider Identifier
1497820799
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
147007 Issued in NY
Legal business name
FIROOZ RAVANGARD, MD PC
Practice address
1656 Champlin Ave Ste 222
Utica, NY 13502-4830
Phone
(315) 724-7734
Fax
(315) 724-7816
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Firooz Ravangard, MD
Title
President
Phone
(315) 724-7734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 147007 NY Primary

Addresses

Primary practice location

1656 Champlin Ave Ste 222
Utica, NY 13502-4830

Mailing address

1656 Champlin Ave Ste 222
Utica, NY 13502-4830
Phone (315) 724-7734

National Provider Directory

National Provider Directory

Locations

12 West St
Ilion, NY 13357
Phone (315) 895-7623

1656 Champlin Ave
Ste 222
Utica, NY 13502
Phone (315) 724-7734

Practitioners & 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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1497820799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE STE 222",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-724-7734",
            "fax_number": "315-724-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE STE 222",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-724-7734",
            "fax_number": "315-724-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIROOZ RAVANGARD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "RAVANGARD",
        "authorized_official_first_name": "FIROOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-724-7734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "147007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.