Syracuse Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SYRACUSE FAMILY PRACTICE, LLC

Practice address

1033 N Indiana Ave
Syracuse, IN 46567-1017

Phone

(574) 457-5701

Fax

(574) 457-5609

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry D Allen, M.D.NPI 1942310818

Title

Owner

Phone

(574) 457-5701

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry D Allen, MD

  • Family Medicine Physician
  • Syracuse, IN
  • NPI 1942310818
  NPD (past) Authorized official
• Jodi S Clouse, MD

  • Family Medicine Physician
  • Syracuse, IN
  • NPI 1730299603
  NPD (past)
• Gary W Trowbridge, PA

  • Physician Assistant
  • Syracuse, IN
  • NPI 1881704765
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770613879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N INDIANA AVE",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671017",
            "telephone_number": "574-457-5701",
            "fax_number": "574-457-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N INDIANA AVE",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671017",
            "telephone_number": "574-457-5701",
            "fax_number": "574-457-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-457-5701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Shaffer, MSW, LSW
• Julianna Meleah Sherman, PTA
• Shopko Stores Operating Co LLC (Shopko Pharmacy 647)
• April D Silvarman, LPN
• Lawanda Lorraine Stoudimire
• The Waters of Syracuse Skilled Nursing Facility LLC
• Tracy Thompson Fites
• James R Thwaits, D.C.
• Town of Syracuse (Town of Syracuse Ambulance Service)
• Gary W Trowbridge, PA

• Family Medicine Physician in Syracuse, IN
• Providers in Syracuse, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.