Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Stoltz IV, RPA-C

Individual provider Surgical Physician Assistant · NPI 1528249513

Gary Stoltz IV, RPA-C is a Physician Assistant in Syracuse, New York. Qualified in 2007, 19 years ago. Practices with Physician Care PC, a 77-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

739 Irving Ave Ste 600
Syracuse, NY 13210-1651
Phone: (315) 701-2550
Fax: (315) 701-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 012102 (NY)

Record details

NPI number1528249513
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2007
Last updated in NPPESDecember 2, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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