GENEVA MODRAK (NPI# 1053367573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053367573 |
| Entity Type | Individual |
| Full Name | GENEVA MODRAK |
| Credential | CRNA |
| Practice Address |
10 Hagen Dr Rochester NY 14625-2660 |
| Mailing Address |
Po Box 2005 East Syracuse NY 13057-4505 |
| Practice Telephone | 5853678200 |
| Mailing Telephone | 3154490513 |
| Mailing Fax Number | 3154452936 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 419342 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 HAGEN DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880065 | Gretchen Anne Welch | Occupational Therapist | 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 | 2005-12-02 |
| 1003171083 | On Nutrition, Pllc | Dietitian, Registered | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2012-07-06 |
| 1194091801 | Unity Linden Oaks Surgery Center, LLC | Clinic/Center | 10 Hagen Dr, Suite 110, Rochester, NY 14625-2697 | 2012-03-27 |
| 1245554013 | Carol Szymczak Plotkin | Dietitian, Registered | 10 Hagen Dr, 200, Rochester, NY 14625-2660 | 2010-03-22 |
| 1013243997 | Sleep Insights Management Services,llc | Psychiatry & Neurology | 10 Hagen Dr, Suite 120, Rochester, NY 14625-2660 | 2009-10-27 |
| 1477794337 | Carol T Vanbork | Occupational Therapist | 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 | 2009-03-23 |
| 1780838086 | Kim Ann Cruttenden | Nurse Practitioner | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2008-11-13 |
| 1407018963 | Andrew W Smith | Plastic Surgery | 10 Hagen Dr, Suite 310, Rochester, NY 14625-2660 | 2008-06-26 |
| 1326217589 | Linden Oaks Internal Medicine, LLP | Internal Medicine | 10 Hagen Dr, Suite 350, Rochester, NY 14625-2660 | 2008-02-21 |
| 1538345814 | Sleep Insights Medical Services, LLC | Internal Medicine | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2008-01-16 |
| Find all providers in the same location | ||||
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912423245 | Jennifer Erin Johnson | Nurse Anesthetist, Certified Registered | 201 1st Street Sw, Rochester, MN 55905-0001 | 2017-08-18 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1750774774 | Nicole Marie Keenan | Nurse Anesthetist, Certified Registered | 312 Marion St, Rochester, NY 14610-1122 | 2015-03-16 |
| 1790127470 | Marissa Lynn Shukarey | Nurse Anesthetist, Certified Registered | 3472 Hidden Hills Ln Ne, Rochester, MN 55906-6201 | 2013-07-23 |
| 1568766871 | Suzanne H Allphin | Nurse Anesthetist, Certified Registered | 46 French Creek Dr, Rochester, NY 14618-5272 | 2010-12-29 |
| 1215252929 | Cameron R Oliver | Nurse Anesthetist, Certified Registered | 4866 Bishop Ln Nw, Rochester, MN 55901-3041 | 2010-04-06 |
| 1841520004 | Whitney E Booth | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2010-01-10 |
| 1457406399 | Gloria Louise Davis | Nurse Anesthetist, Certified Registered | 639 25th St Sw, Rochester, MN 55902-2212 | 2007-01-23 |
| 1093868234 | Donna A Dzialo | Nurse Anesthetist, Certified Registered | 1101 West University Drive, Crittenton Hospital Medical Center, Rochester, MI 48307-1863 | 2007-01-19 |
| 1790878197 | Candace M Chu | Nurse Anesthetist, Certified Registered | 1101 W. University, Anesthesia Department, Rochester, MI 48037 | 2006-09-30 |
| 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.