M R Goriganti Physician PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

210930 Issued in NY

Legal business name

M R GORIGANTI PHYSICIAN PLLC

Practice address

1000 E Genesee St Ste 100a
Syracuse, NY 13210-1853

Phone

(315) 423-4155

Fax

(315) 423-4199

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mahender Rao Goriganti, MD

Title

Member

Phone

(315) 423-4155

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Kay Bailey, LCSWR

  • Clinical Social Worker
  • Whitesboro, NY
  • NPI 1245721489
  NPD (past)
• Dorothy Champney, FNP

  • Family Nurse Practitioner
  • Fulton, NY
  • NPI 1669538294
  NPD (past)
• Ralph Paul Ferenchak, MD

  • Family Medicine Physician
  • Utica, NY
  • NPI 1881826956
  NPD (past)
• Lawrence Koss, MD

  • Family Medicine Physician
  • Central Square, NY
  • NPI 1790884666
  NPD (past)
• Terry C Salmonsen, N.P.

  • Family Nurse Practitioner
  • Oswego, NY
  • NPI 1194988758
  NPD (past)
• Maynard A. Shumway, PA-C

  • Surgical Physician Assistant
  • Utica, NY
  • NPI 1205860798
  NPD (past)
• Ajay Kumar, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Watchung, NJ
  • NPI 1871545111
  NPD (past)
• Mahesh Reddy Kuthuru, MD

  • Specialist
  • Las Vegas, NV
  • NPI 1770534745
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508049032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 100A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101853",
            "telephone_number": "315-423-4155",
            "fax_number": "315-423-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 100A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101853",
            "telephone_number": "315-423-4155",
            "fax_number": "315-423-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M R GORIGANTI PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GORIGANTI",
        "authorized_official_first_name": "MAHENDER",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-423-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "210930",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NY",
            "license": "210930",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "210930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02283232",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1144202805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri E Lyons, PA
• Midzy B Lysius, NP
• Paul David Lystrup, CRNA
• Tammy Louise Lytle, PT
• Margaret Lyttle, LMSW
• M&a Mobilityllc
• M&M Industries LLC
• Julia H Ma
• Peter H Ma, MD
• Linda Maa

• Physical Medicine & Rehabilitation Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.

Verify at the official NPI Registry.