Surgical Associates of Utica, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

316886 Issued in NY

Legal business name

SURGICAL ASSOCIATES OF UTICA, PC

Practice address

2206 Genesee St
Utica, NY 13502-5829

Phone

(315) 797-3430

Fax

(315) 624-7383

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn A Gugnacki

Title

Practice Administrator

Phone

(315) 797-3430

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ann Beisel, RPA-C

  • Surgical Physician Assistant
  • New Hartford, NY
  • NPI 1932296449
  NPD
• Peter R Dellerba, N.P.

  • Nurse Practitioner
  • Utica, NY
  • NPI 1457431066
  NPD (past)
• Christopher C Max, M.D.

  • Surgery Physician
  • Utica, NY
  • NPI 1063592665
  NPD (past)

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972690196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025829",
            "telephone_number": "315-797-3430",
            "fax_number": "315-624-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025829",
            "telephone_number": "315-797-3430",
            "fax_number": "315-624-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF UTICA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUGNACKI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "315-797-3430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "316886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sullivan, N.P.
• Paige Nicole Sullivan
• Jennifer Ann Sumner, OTRL
• Sunset Anesthesia Associates LLP
• Michele Lee Supino, LPN
• Salina Sophera Suy, D.D.S.
• Robert H Svenson, MD
• Kristine Swancott
• Emmilee Jo-Anne Swank, PMHNP
• Anne Jenna Swearingen, NP

• Vascular Surgery Physician in Utica, NY
• Providers in Utica, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.