UPSTATE ORTHOPEDICS ASC
NPI 1427282771
Clinic/Center - Ambulatory Surgical in East Syracuse, NY

NPI Status: Active since May 14, 2009

Contact Information

6620 FLY ROAD
SUITE 300
EAST SYRACUSE, NY
ZIP 13057
Phone: (315) 432-5960
Fax: (315) 432-5979

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D1107510
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About UPSTATE ORTHOPEDICS ASC

This page provides the complete NPI Profile along with additional information for Upstate Orthopedics Asc, a provider established in East Syracuse, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1427282771 assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 3321200R (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Upstate Orthopedics Asc. The authorized official of this NPI record is Mr. Jon David Van Valkenburg (Executive Director)

NPI
1427282771
Provider Legal Name
UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC
Other Organization Name
UPSTATE ORTHOPEDICS ASC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6620 FLY ROAD SUITE 300 EAST SYRACUSE, NY 13057
Location Phone
(315) 432-5960
Location Fax
(315) 432-5979
Mailing Address
6620 FLY ROAD SUITE 300 EAST SYRACUSE, NY 13057
Mailing Phone
(315) 432-5960
Mailing Fax
(315) 432-5979
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2009
Last Update Date
05-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
3321200R
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JON DAVID VAN VALKENBURG

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(315) 432-5971

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 15 times for 14 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 62 times for 28 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 15 times for 11 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

This service was performed 36 times for 31 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 135 times for 84 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 75 times for 27 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 102 times for 82 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 28 times for 20 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 32 times for 16 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 16 times for 16 patients

Release and/or relocation of elbow nerve

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

This service was performed 13 times for 13 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 21 times for 20 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 16 times for 16 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 47 times for 42 patients

Relocation of tendon of forearm and/or wrist

Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.

This service was performed 16 times for 16 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 16 times for 16 patients

Removal of connective tissue of palm and release of finger, first digit

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

This service was performed 12 times for 12 patients

Removal of deep implant from bone

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

This service was performed 17 times for 15 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 28 times for 28 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 24 times for 24 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D1107510
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 06, 2009
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. STEPHEN ALBANESE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upstate Orthopedics Asc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427282771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447484714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 8 + 4 + 7 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1427282771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952305369DR. STEPHEN A ALBANESE MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1699770602DR. TIMOTHY A DAMRON MD
Individual
Orthopaedic Surgery6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1326043381DR. KATHRYN E PALOMINO MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1467457440 MATTHEW J BURNETT PA
Individual
Physician Assistant (Surgical)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1700881711DR. JOHN P CANNIZZARO MD
Individual
Orthopaedic Surgery (Sports Medicine)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1831194711 CARMELITA R WOODS RNNP
Individual
Nurse Practitioner (Family)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1972508901DR. DANIELLE E KATZ MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1740285584DR. KEVIN J SETTER MD
Individual
Orthopaedic Surgery (Hand Surgery)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1881645323DR. MIKE H SUN MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1669423190DR. RICHARD A TALLARICO MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1669413480DR. MATTHEW G SCUDERI MD
Individual
Orthopaedic Surgery (Sports Medicine)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1649213232MS. CATHERINE MARIE TOMAIUOLI ANP-C
Individual
Nurse Practitioner (Adult Health)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1134247646DR. WILLIAM F LAVELLE MD
Individual
Orthopaedic Surgery6620 FLY ROAD SUITE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1184616203DR. JON B LOFTUS MD
Individual
Plastic Surgery (Surgery of the Hand)6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1740228311UPSTATE ORTHOPEDICS, LLP
Organization
Orthopaedic Surgery6620 FLY ROAD STE 200
EAST SYRACUSE, NY 13057
(315) 464-4472
1760491872 KELLY LYNN STEWART NP
Individual
Nurse Practitioner (Family)6620 FLY ROAD
EAST SYRACUSE, NY 13057
(315) 464-1849
1659328961DR. DARYLL C. DYKES MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)6620 FLY ROAD SUITE 200
EAST SYARUSE, NY 13057
(315) 464-3619
1386005312 STEPHANIE M GARLAND NP
Individual
Psychiatry & Neurology (Neurology)6620 FLY ROAD SUITE 305
EAST SYRACUSE, NY 13057
(315) 464-3938
1689162786 ODAI ABDALLA MD
Individual
Psychiatry & Neurology (Neurology)6620 FLY ROAD STE 305
E SYRACUSE, NY 13057
(315) 464-3938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427282771, enumerated in the NPI registry as an "organization" on May 14, 2009

The provider is located at 6620 Fly Road Suite 300 East Syracuse, Ny 13057 and the phone number is (315) 432-5960

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Incision of tendon covering of finger, Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of substance into lower spine canal using imaging guidance, Injection of substance into middle or upper spine canal using imaging guidance, Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography, Partial removal of collar bone at shoulder using an endoscope, Release and/or relocation of elbow nerve, Release and/or relocation of hand nerve, Release of tendon connecting biceps muscle and shoulder using an endoscope, Release of wrist ligament using an endoscope, Relocation of tendon of forearm and/or wrist, Removal of bone joints between wrist and fingers, Removal of connective tissue of palm and release of finger, first digit, Removal of deep implant from bone, Removal of extensive shoulder joint tissue using an endoscope and Repair of shoulder rotator cuff using an endoscope.

The provider's CLIA number is 33D1107510 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 14, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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