Active NPI
Barbara Anne Morisseau, M.D.
- Pediatrics Physician
- Syracuse, NY
National Provider Identifier
1972586915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 218430
- Practice address
- 151 Intrepid LN
Syracuse, NY 13205-2552 - Phone
- (315) 469-8191
- Fax
- (315) 469-4482
- NPI assigned
- Nov 23, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 218430 | NY | Primary |
Addresses
Primary practice location
151 Intrepid LN
Syracuse, NY 13205-2552
Mailing address
151 Intrepid LN
Syracuse, NY 13205-2552
Phone (315) 469-8191
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218430 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Hill Pediatrics, R.L.L.P. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1205983798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1972586915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 INTREPID LN",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052552",
"telephone_number": "315-469-8191",
"fax_number": "315-469-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 INTREPID LN",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052552",
"telephone_number": "315-469-8191",
"fax_number": "315-469-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORISSEAU",
"first_name": "BARBARA ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "218430",
"primary": true
}
],
"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 Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.