DR. KIMBERLY MARIE SYRES (NPI# 1114990348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114990348 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY MARIE SYRES |
| Credential | MD |
| Practice Address |
1415 Portland Ave Ste 245 Rochester NY 14621-3022 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5859224518 |
| Practice Fax Number | 5859223950 |
| Mailing Telephone | 5859224518 |
| Mailing Fax Number | 5853365113 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
306911 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036143309 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 Portland Ave, Rochester, NY 146213011 | 5859224518 | 5859223950 |
| 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 8475701700 | 8475034371 |
| Naval Medical Center Sandiego, 34730 Bob Wilson Drive, Sandiego, CA 921343400 | 6195327575 | |
| 3001 Green Bay Rd, North Chicago, IL 600643048 | 2246108024 | 2246108025 |
| Street Address |
1415 PORTLAND AVE STE 245 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017296 | Kathryn Ann Hughes | Surgery | 1415 Portland Ave Ste 245, Rochester, NY 14621-3022 | 2006-01-10 |
| 1790296887 | Funke Wuraola Oshiotse | Nurse Practitioner | 1415 Portland Ave Ste 245, Rochester, NY 14621-3022 | 2017-10-17 |
| 1417371600 | Kristie Keene | Physician Assistant | 1415 Portland Ave Ste 245, Rochester, NY 14621-3022 | 2014-02-10 |
| 1174813620 | Yvonne Harrison | Nurse Practitioner | 1415 Portland Ave Ste 245, Rochester, NY 14621 | 2011-04-17 |
| 1962566158 | Delean Grose Lunger | Nurse Practitioner | 1415 Portland Ave Ste 245, Rochester, NY 14621 | 2006-12-21 |
| 1053417113 | Eva Wall | Surgery | 1415 Portland Ave Ste 245, Rochester, NY 14621-3022 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144546995 | Michael Antonio Vella | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2010-04-19 |
| 1164076691 | Kristen Giberson | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-08-01 |
| 1366951998 | Kevin Charles Cooper | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2017-09-27 |
| 1689023277 | Cardiac Surgery of The University of Rochester | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2016-06-06 |
| 1851754634 | Acute Care Trauma of The University of Rochester | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-03-30 |
| 1578998696 | Lakeshore Surgical Practice, PC | Surgery | 30 Erie Canal Dr, Suite E, Rochester, NY 14626-4604 | 2013-09-09 |
| 1962644484 | Neil Gupta Kumar | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2009-03-30 |
| 1003829110 | Yanjie Qi | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-08-14 |
| 1740205566 | University of Rochester Surgical Associates | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-07-13 |
| 1770510836 | Paul Edward Bankey | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-06-26 |
| 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.