Dr. Judith Birungi
Surgery

Address: 750 E Adams St, Syracuse, NY 13210
Phone: 3154645136

Dr. Judith Birungi (NPI# 1609183953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609183953
Entity Type Individual
Full Name Dr. Judith Birungi
Credential M.D
Gender Female
Practice Address 750 E Adams St
Syracuse
NY 13210
Practice Telephone 3154645136
Mailing Address 2410w Pierce St
Carlsbad
NM 88220-3512
Mailing Telephone 5758850766
Mailing Fax Number 5758873791
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-09-08
Last Update Date 2015-08-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Yes 208600000X Surgery Allopathic & Osteopathic Physicians MD2014-0890 NM

Physician Overview

NPI 1609183953
PAC ID by PECOS 1557677432
Professional Enrollment ID I20170420001876
Full Name Judith Birungi
Organization Legal Name MAVERICK COUNTY HOSPITAL DISTRICT
Phone Number 8307574900
Gender F
Graduation Year 2010
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2466369061
Number of Group Practice Members 12
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450092 FORT DUNCAN MEDICAL CENTER

Office Location

Street Address 750 E ADAMS ST
City SYRACUSE
State NY
Zip Code 13210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922003193 Aqeel A Sandhu Specialist 750 E Adams St, Syracuse, NY 13210-2306 2005-06-15
1134691587 Danielle Kawryga Physical Medicine & Rehabilitation 750 E Adams St, Syracuse, NY 13210 2018-12-26
1427529643 Tracey Lynn Gilgallon Social Worker 750 E Adams St, Syracuse, NY 13210-2306 2018-12-16
1396213195 Lindsay Wilsey Physician Assistant 750 E Adams St, Syracuse, NY 13210-2306 2018-11-09
1528536398 Anthony Layne Johnson Jr. Physical Therapist 750 E Adams St, Syracuse, NY 13210-2306 2018-11-09
1710453816 Crystal L Islam Physician Assistant 750 E Adams St, Syracuse, NY 13210-2306 2018-10-17
1659846616 Al-aman Shaukat Student in an Organized Health Care Education/Training Program 750 E Adams St, Syracuse, NY 13210-1834 2018-10-05
1497230031 Melissa Frances Morris Nurse Practitioner 750 E Adams St, Syracuse, NY 13210-1834 2018-09-29
1821573544 Ginger Jones Cowan Nurse Practitioner 750 E Adams St, Syracuse, NY 13210-2306 2018-09-27
1376027151 Justine Carrie Playford Occupational Therapist 750 E Adams St, Syracuse, NY 13210-2306 2018-09-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1699283770 Karla Beth Murphy Social Worker 635 Madison Street, Syracuse, NY 13210 2018-01-11
1104358605 Lauren Beck Student in an Organized Health Care Education/Training Program 750 East Adams Street, Rm 1816, Suny Upstate University Hospital, Syracuse, NY 13210 2017-04-03
1952858003 Isaac Robert Virag Physical Therapist 207 Pine Street, Syracuse, NY 13210 2016-09-07
1164877577 Luong T Nguyen Student in an Organized Health Care Education/Training Program 750 E Adams Street, Syracuse, NY 13210 2016-05-04
1770958597 Franklin Orr Registered Nurse 550 Cedar Str., Syracuse, NY 13210 2015-12-04
1891199485 Sarah Osgood Social Worker 660 Madison St., Syracuse, NY 13210 2014-10-10
1801204524 Yorgo Zahlanie Student in an Organized Health Care Education/Training Program 1 Childrens Circle, E Adams St., Syracuse, NY 13210 2014-07-25
1760899835 Kerri Allen Registered Nurse 725 Harrison Street, Syracuse, NY 13210 2014-07-21
1003229931 Daniel Bryan Student in an Organized Health Care Education/Training Program 1000 E Genesee St Ste 404, Syracuse, NY 13210 2014-06-09
Find all providers in zip 13210

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124319249 Sheryl E Uyeda Surgery 750 East Adams Ste Ste 4835, Syracuse, NY 13210 2011-04-23
1992948707 Jesse Reed Gutnick Surgery 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 2009-04-08
1710914932 Marshall Ray Kenoyer Surgery 700 North Huser, Syracuse, KS 67878-1278 2006-06-26
1063465847 John Douglas Fey Surgery 800 Irving Avenue, Dept. of Surgery (112), Syracuse Va Medical Center, Syracuse, NY 13210 2006-05-19
1992757421 Taewan Kim Surgery 505 Irving Ave, Ste 1249, Syracuse, NY 13210-1718 2006-05-16
1104877216 David B Tyler Surgery 739 Irving Avenue, Suite 450, Syracuse, NY 13210 2006-05-13
1366885634 Michael L Mcgrattan Surgery 750 E Adams St, Syracuse, NY 13210-2342 2013-04-16
1841581907 Mark James Crye Surgery 750 East Adams St, Syracuse, NY 13210-2306 2011-04-25
1457672156 Flavia Celeste Soto Surgery 750 East Adams St, Syracuse, NY 13210 2010-06-16
1629207139 Raffaele James Marchigiani Surgery 750 East Adams Street, Syracuse, NY 13210 2009-07-06
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Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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