Carolyn Mary Pover, FNP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

F3330461 Issued in NY

Practice address

104 Union Avenue and Townsend Street
Suite 803
Syracuse, NY 13203

Phone

(315) 701-5757

Fax

(315) 476-8519

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• GYN Oncology Associates

  • Gynecologic Oncology Physician
  • Syracuse, NY
  • NPI 1457393092
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1629067061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UNION AVENUE AND TOWNSEND STREET",
            "address_2": "SUITE 803",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-701-5757",
            "fax_number": "315-476-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVENUE AND TOWNSEND STREET",
            "address_2": "SUITE 803",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-701-5757",
            "fax_number": "315-476-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVER",
        "first_name": "CAROLYN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "F3330461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02127746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Potter, FNP
• Ryan Potter, AU.D.
• Aarati Poudel, MD
• Pradish Poudel, MD
• Bhavya Poudyal, M.B.B.S.
• Celina L. Powell, MS
• Christine Leigh Powell, RN
• Christopher P Powell, MPT
• Kristin Powell, LPN
• Tiffany Powell

• Obstetrics & Gynecology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Obstetrics & Gynecology Physician in New York

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