Active NPI
Jonathan Shea Diruzzo, MD
- Anesthesiology Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 66280
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (678) 604-1053
- NPI assigned
- Nov 20, 2007
- Last updated
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0000046012 | TN | |
| Anesthesiology Physician | 207L00000X | 296382 | NY | |
| Anesthesiology Physician | 207L00000X | 66280 | GA | Primary |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
860 Peachtree St NE Unit 2009
Atlanta, GA 30308-1278
Phone (404) 354-8148
Other practice location 1
2215 Burdett Ave
Troy, NY 12180-2475
Phone (518) 525-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at San Antonio, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296382 | NY | MD | Anesthesiology Physician |
| 0000046012 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Ams Southeast LLC | Anesthesiology | Current | Accepting new patients |
| Resource Anesthesiology Associates,PC | Anesthesiology | Current | Accepting new patients |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Henry Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
Locations
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
7 Southwoods Blvd
Ste 4
Albany, NY 12211
88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
475 Irving Ave
Syracuse, NY 13210
Phone (315) 234-9679
5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140
725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- jdiruzzo2359684@direct.trinity-health.org
- jdiruzzo582446@direct.urmc.rochester.edu
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1588647200
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
-
dba Tift Regional Ophthalmology
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
dba Arthritis and Osteoporosis Center
- Rheumatology Physician
- Tifton, GA
- NPI 1821281494
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1447229943
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1720269699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 PEACHTREE ST NE UNIT 2009",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081278",
"telephone_number": "404-354-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815085",
"telephone_number": "678-604-1053"
}
],
"practiceLocations": [
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802475",
"country_code": "US",
"telephone_number": "518-525-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIRUZZO",
"first_name": "JONATHAN",
"middle_name": "SHEA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "0000046012",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "296382",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "66280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.