Active NPI
George O Temnycky, MD
- Ophthalmology Physician
- Syracuse, NY
National Provider Identifier
1528059995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 177538
- Practice address
- 1304 Buckley Rd
Suite 205
Syracuse, NY 13212-4311 - Phone
- (315) 458-2020
- Fax
- (315) 458-6522
- NPI assigned
- Nov 3, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 177538 | NY | Primary |
Addresses
Primary practice location
1304 Buckley Rd
Suite 205
Syracuse, NY 13212-4311
Mailing address
PO Box 2337
Suite 205
Syracuse, NY 13220-2337
Phone (315) 458-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01199191 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1528059995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2337",
"address_2": "SUITE 205",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132202337",
"telephone_number": "315-458-2020",
"fax_number": "315-458-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"address_2": "SUITE 205",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124311",
"telephone_number": "315-458-2020",
"fax_number": "315-458-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMNYCKY",
"first_name": "GEORGE",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "177538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01199191",
"state": "NY"
}
],
"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 Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.