SOUTHERN TIER CARDIOLOGY PLLC (NPI# 1033400742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033400742 |
| Entity Type | Organization |
| Organization Name | SOUTHERN TIER CARDIOLOGY PLLC |
| Practice Address |
790 Linden Ave Rochester NY 14625-2716 |
| Practice Telephone | 5853859030 |
| Practice Fax Number | 5853859124 |
| Mailing Telephone | 5853859030 |
| Mailing Fax Number | 5853859124 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-05-14 |
| Authorized Official Name | DR. SYED ASIF A SHAH (OWNER) |
| Authorized Official Telephone | 5857294004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
220900 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 220900 | 01 |
| Street Address |
790 LINDEN AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037212 | Howard D Merzel, Md Pllc | Internal Medicine | 790 Linden Ave, Rochester, NY 14625-2716 | 2010-02-11 |
| 1124687686 | Stephanie Beneduci | Dentist | 790 Linden Ave, Rochester, NY 14625-2716 | 2019-06-10 |
| 1487033163 | Guler Medical Practice Pllc | Internal Medicine | 790 Linden Ave, Rochester, NY 14625-2716 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619515 | Jrk Medical LLC | Internal Medicine | 2633 Superior Dr Nw Ste 100, Rochester, MN 55901-8395 | 2018-02-20 |
| 1134481427 | Jian Shan | Internal Medicine | 30 Hagen Dr Ste 100, Rochester, NY 14625-2658 | 2012-06-12 |
| 1265722508 | Erica Olson Miller | Internal Medicine | 600 Red Creek Dr Ste 100, Rochester, NY 14623 | 2011-04-07 |
| 1427347509 | Nicholas Mckenzie Venci | Internal Medicine | 140 Canal View Blvd Ste 102, Rochester, NY 14623-2808 | 2011-03-29 |
| 1952690026 | John Michael Nayda | Internal Medicine | Unisersity of Rochester Strong Memorial, Division of Cardiology Box 679a, Rochester, NY 14642-0001 | 2011-03-29 |
| 1114242500 | Michael Vornovitsky | Internal Medicine | 601 Elmwood Ave Box 679a, Rochester, NY 14642-0001 | 2010-03-29 |
| 1629302013 | Marvin Galler | Internal Medicine | 300 Hylan Dr, # 107, Rochester, NY 14623-4216 | 2009-10-01 |
| 1952544652 | Kiran Devaraj | Internal Medicine | 1870 Winton Rd S Ste 1, Rochester, NY 14618-3960 | 2009-04-09 |
| 1326295536 | John Allen Spittell Jr. | Internal Medicine | 614 Memorial Pkwy Sw, Rochester, MN 55902-6349 | 2008-08-20 |
| 1114010865 | Gregory Mark Singer | Internal Medicine | 2664 Ridgeway Ave, Rochester, NY 14626-4209 | 2006-10-02 |
| 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.