Active NPI
David James Vargo Sr., CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
National Provider Identifier
1912961723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26N010983200
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (609) 581-5303
- Fax
- (609) 631-6839
- NPI assigned
- Apr 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN352802L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 26N010983200 | NJ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 649073 | NY |
Addresses
Primary practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
PO Box 2000
East Syracuse, NY 13057-4500
Phone (315) 446-0033
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26N010983200 | NJ | MD | Certified Registered Nurse Anesthetist |
| 649073 | NY | MD | Certified Registered Nurse Anesthetist |
| RN352802L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Gastroenterological Associates.PC | Past | Accepting new patients | |
| Trenton Anesthesiology Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Hamilton Anesthesia Associates, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- Anesthesiology Physician
- Hamilton Square, NJ
- NPI 1487761474
-
- Anesthesiology Physician
- Pennington, NJ
- NPI 1578519047
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1912961723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574500",
"telephone_number": "315-446-0033",
"fax_number": "315-362-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "609-581-5303",
"fax_number": "609-631-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN352802L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26N010983200",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "649073",
"primary": false
}
],
"identifiers": [],
"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 Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.