Jennifer West McCaul, MD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

237978 Issued in NY

Practice address

150 Sims Dr Ste 201
Syracuse, NY 13244-4412

Phone

(315) 443-8000

Fax

(315) 443-9010

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Syracuse University

  • Student Health Clinic/Center
  • Syracuse, NY
  • NPI 1447338819
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1962427005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SIMS DR STE 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444412",
            "telephone_number": "315-443-8000",
            "fax_number": "315-443-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SIMS DR STE 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444412",
            "telephone_number": "315-443-8000",
            "fax_number": "315-443-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUL",
        "first_name": "JENNIFER",
        "middle_name": "WEST",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02800255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Edgar McCarthy, DDS
• Katherine A McCarthy, MD
• Lauren McCarthy, LMHC
• Mary T. McCarthy, OD
• Deb McCasland, CDN
• Kaitlin McCauley, FNP-C
• Mary P McCauley
• Ryanne Spencer McChesney
• Olivia Easton McCheyne
• Rachel McClean, LMT

• Family Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.