UPSTATE ORTHOPEDICS ASC – NPI #1427282771
Clinic/Center

UPSTATE ORTHOPEDICS ASC is an AHC clinic located in EAST SYRACUSE, NY. NPPES has assigned the NPI number 1427282771 to UPSTATE ORTHOPEDICS ASC on May 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UPSTATE ORTHOPEDICS ASC” is a dba name, the actual legal business name for this organization is UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on May 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UPSTATE ORTHOPEDICS ASC below.

NPI Profile for
UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC

NPI Number
1427282771
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC
Doing Business As (dba): UPSTATE ORTHOPEDICS ASC
Primary location
6620 FLY ROAD
SUITE 300
EAST SYRACUSE, NY 13057
Phone: (315) 432-5960 Fax: (315) 432-5979
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JON VAN VALKENBURG
EXECUTIVE DIRECTOR
Phone: (315) 432-5971
Updated
Certification Date
May 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.