Active NPI
Melissa Ann Thomas, PA
- Physician Assistant
- Syracuse, NY
National Provider Identifier
1932270196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009120-1
- Practice address
- 4900 Broad Rd
Community General Hospital ER Dept
Syracuse, NY 13215-2265 - Phone
- (315) 492-5664
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009120-1 | NY | Primary |
Addresses
Primary practice location
4900 Broad Rd
Community General Hospital ER Dept
Syracuse, NY 13215-2265
Mailing address
325 Melvin Dr
North Syracuse, NY 13212-4221
Phone (315) 457-1923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02354016 | Medicaid | NY |
Other names 1
- Melissa Anne Macewicz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, PA, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 Bristol Lane
Ellicohville, NY 14731-0500
PO Box
Suite 500
Ellicottville, NY 14731-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009120-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chung Hyun Oh MD PC | Past | Accepting new patients | |
| Onondaga Hill E R Physicians, LLP | Past | Accepting new patients | |
| Wellnow Urgent Care, PC | Past | Accepting new patients | |
| Wellnow Urgent Care, PC | Past | Accepting new patients | |
| Ny Urgent Care Practice, P.C. | Past | Accepting new patients |
Organizations & group practices 8
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.
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- NPI 1386827178
-
- Urgent Care Clinic/Center
- Elmira, NY
- NPI 1962770016
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1699708479
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1720445067
-
- Urgent Care Clinic/Center
- Jamestown, NY
- NPI 1770850224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1932270196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MELVIN DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124221",
"telephone_number": "315-457-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"address_2": "COMMUNITY GENERAL HOSPITAL ER DEPT",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009120-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02354016",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MACEWICZ",
"middle_name": "ANNE",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 18, 2008; 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.