Active NPI
Stephen D Nash, M.D.
- Cardiovascular Disease Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 172971
- Practice address
- 600 E Genesee St
Presidential Plaza, Suite 204
Syracuse, NY 13202-3130 - Phone
- (315) 475-9921
- Fax
- (315) 472-7103
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 172971 | NY | Primary |
Addresses
Primary practice location
600 E Genesee St
Presidential Plaza, Suite 204
Syracuse, NY 13202-3130
Mailing address
600 E Genesee St
Presidential Plaza, Suite 204
Syracuse, NY 13202-3130
Phone (315) 475-9921
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01190243 | Medicaid | NY | |
| 52111B | Other | NY | MEDICARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172971 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients | |
| St Joseph'S Hospital Health Center | Current | Accepting new patients | |
| David T. Nash, M.D. P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
7246 Janus Park Dr
#101
Liverpool, NY 13088
Phone (315) 458-7171
7246 Janus Park Dr
Liverpool, NY 13088
Phone (315) 458-2800
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Cardiovascular Disease Physician
- Syracuse, NY
- NPI 1861720484
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1962427013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E GENESEE ST",
"address_2": "PRESIDENTIAL PLAZA, SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023130",
"telephone_number": "315-475-9921",
"fax_number": "315-472-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E GENESEE ST",
"address_2": "PRESIDENTIAL PLAZA, SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023130",
"telephone_number": "315-475-9921",
"fax_number": "315-472-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "172971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01190243",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "52111B",
"state": "NY"
}
],
"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 Mar 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.