AMY DESANTIS (NPI# 1053749614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053749614 |
| Entity Type | Individual |
| Full Name | AMY DESANTIS |
| Credential | PA |
| Practice Address |
9 Merrydale Drive Rochester NY 14624 |
| Mailing Address |
9 Merrydale Dr Rochester NY 14624-2915 |
| Practice Telephone | 5853305597 |
| Mailing Telephone | 5853305597 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
017082-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9 MERRYDALE DRIVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| 1902160658 | Annfurly G Beverly | Registered Nurse | 1600 Wind Willow Way, Blueberry Hill Apt # 9, Rochester, NY 14624 | 2012-06-27 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1760764682 | Casia Joyce Whitney | Physician Assistant | 300 White Spruce Blvd Ste 200, Rochester, NY 14623-1606 | 2011-09-16 |
| 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.