Advanced OB GYN, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ADVANCED OB GYN, PLLC

Practice address

4850 Broad Rd
Suite 2C
Syracuse, NY 13215-5100

Phone

(315) 492-5915

Fax

(315) 492-5210

NPI assigned

Aug 3, 2005

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

Myron O Luthringer, MDNPI 1851394811

Title

Owner

Phone

(315) 492-5915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Myron O Luthringer, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
  • NPI 1851394811
  Medicare reassignment Care Compare group NPD Authorized official
• Janice Beaman, NP, CNM

  • Women's Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1356344311
  Medicare reassignment Care Compare group NPD
• Jennifer C Marziale, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
  • NPI 1578566436
  Medicare reassignment Care Compare group NPD
• Morgan E Moran, PA-C

  • Physician Assistant
  • Syracuse, NY
  • NPI 1083213557
  Medicare reassignment Care Compare group
• Michael J Tamul, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1720070774
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801897574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "SUITE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155100",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OB GYN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTHRINGER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-5915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Adler, M.D.
• Syed Adnan, MD
• Veronica Adsit, RN, FNP-C
• Kwame A Adusei, MD
• Advanced ENT Physicians & Surgeons of Cny PC
• Susan Adydan
• Nana Adwoa Asantewaa Afari
• Makor Afet
• Folake Moriliat Afolayan-Lawal, MBBS
• Safa Saadat Afridi, MBBS

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.