UPSTATE SURGICAL GROUP PC
NPI 1629176755
Specialist in Liverpool, NY

NPI Status: Active since September 20, 2006

Contact Information

5100 W TAFT RD
STE 2E
LIVERPOOL, NY
ZIP 13088
Phone: (315) 634-3399
Fax: (315) 634-3395

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  • Organization
  • Specialist

About UPSTATE SURGICAL GROUP PC

This page provides the complete NPI Profile along with additional information for Upstate Surgical Group Pc, a provider established in Liverpool, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629176755 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Upstate Surgical Group Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Thomas F Certo M.d. (President)

NPI
1629176755
Provider Name
UPSTATE SURGICAL GROUP PC
Entity Type
Organization
Location Address
5100 W TAFT RD STE 2E LIVERPOOL, NY 13088
Location Phone
(315) 634-3399
Location Fax
(315) 634-3395
Mailing Address
5100 W TAFT RD STE 2E LIVERPOOL, NY 13088
Mailing Phone
(315) 634-3399
Mailing Fax
(315) 634-3395
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
07-21-2022
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. THOMAS F CERTO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(315) 634-3399

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01408800MEDICAID (05)NY 

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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.
1629176755
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26492712710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 7 + 1 + 2 + 7 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1629176755 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023015500 JODY S BLEIER MD
Individual
Internal Medicine (Cardiovascular Disease)5100 W TAFT RD SUITE 4J
LIVERPOOL, NY 13088
(315) 701-2170
1780683979 SCOTT D MENDZEF NP
Individual
Nurse Practitioner (Adult Health)5100 W TAFT RD SUITE 4J
LIVERPOOL, NY 13088
(315) 701-2170
1578564548 MEGAN C CROSS NP
Individual
Nurse Practitioner (Adult Health)5100 W TAFT RD SUITE 4J
LIVERPOOL, NY 13088
(315) 701-2170
1548252646DR. LAWRENCE CALABRESE M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1891787909DR. MARCUS ALLEN MD
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1053303040DR. GARY D LEAVITT M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1265424261DR. STEVEN R LINDEMANN M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1508858408DR. BERNARD N RAASCH M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1811989726DR. JOHN H VAN SLYKE M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1114919917DR. JONATHAN M. JACOBS M.D.
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1063404820DR. EDWARD RANDOLPH NOBLE JR. M.D.
Individual
Radiology (Neuroradiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1215920996DR. CARMELITA V SANPEDRO M.D
Individual
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1093709180ST. JOSEPHS IMAGING ASSOCIATES PLLC
Organization
Radiology (Diagnostic Radiology)5100 W TAFT RD SUITE 2A
LIVERPOOL, NY 13088
(315) 452-2555
1457339350DR. DONALD L LEVIN MD
Individual
Dermatology5100 W TAFT RD STE 1H
LIVERPOOL, NY 13088
(315) 452-2600
1568434454DR. BETH MICHELLE BURGHARDT MD
Individual
Otolaryngology5100 W TAFT RD SUITE 4L
LIVERPOOL, NY 13088
(315) 452-2124
1558335463 MICHAEL J KENDRICK MD
Individual
Urology5100 W TAFT RD SUITE 4 D
LIVERPOOL, NY 13088
(315) 458-6669
1811961725 GINA A BROTHERS ANP
Individual
Urology5100 W TAFT RD SUITE 4-D
LIVERPOOL, NY 13088
(315) 458-6669
1720052558 WILLIAM H ROBERTS MD
Individual
Urology5100 W TAFT RD SUITE 4-D
LIVERPOOL, NY 13088
(315) 458-6669
1124094776 SANFORD P TEMES MD
Individual
Urology5100 W TAFT RD STUITE 4-D
LIVERPOOL, NY 13088
(315) 458-6669
1033185251 PATRICIA J SZYMANOWSKI ANP
Individual
Urology5100 W TAFT RD SUITE 4-D
LIVERPOOL, NY 13088
(315) 458-6669

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629176755, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 5100 W Taft Rd Ste 2e Liverpool, Ny 13088 and the phone number is (315) 634-3399

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 20, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.