ROME MEDICAL PRACTICE P.C. (NPI# 1083962443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083962443 |
| Entity Type | Organization |
| Organization Name | ROME MEDICAL PRACTICE P.C. |
| Other Organization Name | UPSTATE UROLOGY OF ROME |
| Practice Address |
107 E Chestnut St Suite 102 Rome NY 13440-2834 |
| Mailing Address |
1819 Black River Blvd N Rome NY 13440-2451 |
| Practice Telephone | 3153567390 |
| Practice Fax Number | 3153567393 |
| Mailing Telephone | 3153370429 |
| Mailing Fax Number | 3153560583 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | MR. CHESTER PATRICK (PRESIDENT) |
| Authorized Official Telephone | 3153360250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Upstate Urology of Rome | Doing Business As Name - Organization |
| Street Address |
107 E CHESTNUT ST SUITE 102 |
| City | ROME |
| State | NY |
| Zip Code | 13440-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251663 | Hamid Joseph Obeid | Otolaryngology | 107 E Chestnut St, Suite 105, Rome, NY 13440-2834 | 2005-10-31 |
| 1821496332 | Joshua Griffo | Physical Therapist | 107 E Chestnut St, Rome, NY 13440-2834 | 2014-12-15 |
| 1508102211 | Linda L. Schicker Md Pllc | Radiology | 107 E Chestnut St, Suite 103, Rome, NY 13440-2834 | 2012-12-27 |
| 1912275256 | Irina Tson | Physical Therapist | 107 E Chestnut St, Rome, NY 13440-2834 | 2011-12-01 |
| 1174815534 | Rome Medical Practice | Orthopaedic Surgery | 107 E Chestnut St, Suite106, Rome, NY 13440-2834 | 2011-05-04 |
| 1205037009 | H Joseph Obeid, Md | Otolaryngology | 107 E Chestnut St, Suite 105, Rome, NY 13440-2834 | 2007-05-30 |
| 1750424610 | Hematology-oncology Associates of Cny | Social Worker | 107 E Chestnut St, Suite 106, Rome, NY 13440-2834 | 2007-02-14 |
| 1790843688 | Michael T Haley | Physical Therapist | 107 E Chestnut St, Suite 104, Rome, NY 13440-2834 | 2006-12-05 |
| 1366500258 | Michael R Kelly | Physical Therapy Assistant | 107 E Chestnut St, Suite 104, Rome, NY 13440-2834 | 2006-12-05 |
| 1639237415 | Kristin M Cappelli | Physical Therapist | 107 E Chestnut St, Suite 104, Rome, NY 13440-2834 | 2006-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082124 | Larry Hugh Formby | Urology | 1013 N 5th Ave Ne, Ste One, Rome, GA 30165-2664 | 2005-09-01 |
| 1487938635 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 300, Rome, NY 13440-2852 | 2011-10-06 |
| 1700109956 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 900, Rome, NY 13440-2852 | 2010-03-02 |
| 1700062825 | Benjamin Chase Jessie | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2008-01-18 |
| 1336204528 | Forrest Franklin Schrum IIi | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-27 |
| 1487715801 | William Barritt Gilbert | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-12 |
| 1992865257 | James Montgomery Crane | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
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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.