PEDIATRICS & ADOLESCENT MEDICINE GROUP (NPI# 1104861772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104861772 |
Entity Type | Organization |
Organization Name | PEDIATRICS & ADOLESCENT MEDICINE GROUP |
Practice Address |
601 Elmwood Ave Box 635 Rochester NY 14642-0001 |
Practice Telephone | 5852757787 |
Practice Fax Number | 5852752352 |
Mailing Telephone | 5852757787 |
Mailing Fax Number | 5852752352 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2018-03-09 |
Authorized Official Name | JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG) |
Authorized Official Telephone | 5857564003 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00485887 | 05 |
Street Address |
601 ELMWOOD AVE BOX 635 |
City | ROCHESTER |
State | NY |
Zip Code | 14642-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
Find all providers in zip 14642 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992749733 | Parkway Pediatrics & Adolescent Medicine | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-06-15 |
1578523254 | Lester Katzel | Pediatrics | 444 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-03-25 |
1124688635 | Seaboard Financial | Pediatrics | 39 N Goodman St, Rochester, NY 14607-1578 | 2019-06-17 |
1528587698 | Victoria Spencer | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2017-09-11 |
1669996278 | Leander Dominic Timothy | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-07-26 |
1194975110 | Roy F House | Pediatrics | 200 1st St Sw, Emeritus Staff Center Plummer North 10, Rochester, MN 55905-0001 | 2008-09-26 |
1700959897 | Rochester Pediatrics | Pediatrics | 163 Rochester Hill Rd, Rochester, NH 03867-1728 | 2006-11-16 |
1003995903 | Tracy L Maier | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-11-03 |
1619906351 | Christopher H Hodgman | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-07-03 |
1659307551 | Gretchen Smith Burke | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-06-23 |
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.