MARY LOU O'NEILL-HUBER (NPI# 1013977495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013977495 |
| Entity Type | Individual |
| Full Name | MARY LOU O'NEILL-HUBER |
| Credential | M.D. |
| Practice Address |
121 Erie Canal Dr Suite B Rochester NY 14626-4605 |
| Mailing Address |
600 Red Creek Dr Ste 200 Rochester NY 14623-4300 |
| Practice Telephone | 5852255420 |
| Practice Fax Number | 5852255644 |
| Mailing Telephone | 5852226566 |
| Mailing Fax Number | 5852255505 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 205258 | NY | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 205258 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01740234 | 05 | |
| NY | BLUES | P010205258 | 01 |
| NY | PREFERRED CARE | MDB767 | 01 |
| NY | AETNA | 5795663 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Red Creek Dr Ste 200, Rochester, NY 146234300 | 5852226566 | 5852255505 |
| Street Address |
121 ERIE CANAL DR SUITE B |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675684 | Jules Musinger | Otolaryngology | 121 Erie Canal Dr, Ste E, Rochester, NY 14626-4605 | 2005-11-09 |
| 1205086907 | Steven Biondi | Hearing Instrument Specialist | 121 Erie Canal Dr, Suite E, Rochester, NY 14626-4605 | 2008-09-30 |
| 1033281464 | Ronald M D Angelo | Audiologist | 121 Erie Canal Dr, Ste. E, Rochester, NY 14626-4605 | 2006-11-14 |
| 1376654574 | Nikita Maru | Audiologist | 121 Erie Canal Dr, Suite E, Rochester, NY 14626-4605 | 2006-08-31 |
| 1396780656 | Park Ridge Hearing Center | Hearing Aid Equipment | 121 Erie Canal Dr, Suite E, Rochester, NY 14626-4605 | 2006-06-19 |
| 1235110032 | Jules Musinger Md PC | Otolaryngology | 121 Erie Canal Dr, Ste E, Rochester, NY 14626-4605 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225213 | Fabian Grass | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-06-24 |
| 1346801222 | William Richard George Perry | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-06-22 |
| 1629339460 | Gabriela Cara Poles | Colon & Rectal Surgery | 601 Elmwood Ave, Rochester, NY 14642-3134 | 2012-06-07 |
| 1174899389 | Puja Shah Berry | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-04-02 |
| 1902195381 | Scott R Kelley | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-04-06 |
| 1760799571 | Fergal Fleming | Colon & Rectal Surgery | 601 Elmwood Ave, Division of Colorectal Surgery, Box Surg, Rochester, NY 14642-8410 | 2010-09-01 |
| 1578702387 | Brian Teng | Colon & Rectal Surgery | 600 Red Creek Dr Ste 200, Rochester, NY 14623-4300 | 2009-02-18 |
| 1508039413 | Aaron Saul Rickles | Colon & Rectal Surgery | 600 Red Creek Dr Ste 200, Rochester, NY 14623-4300 | 2008-04-11 |
| 1952503062 | Vassiliki L Tsikitis | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-06-01 |
| 1396702411 | Rochester Colon and Rectal Surgeons, PC | Colon & Rectal Surgery | 600 Red Creek Dr Ste 200, Rochester, NY 14623 | 2006-05-01 |
| Find all providers in ROCHESTER | ||||
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| 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.