DR. ANTHONY DOMINICK ROTELLA (NPI# 1134356249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134356249 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY DOMINICK ROTELLA |
| Credential | D.O. |
| Practice Address |
510 S 4th St Suite 600 Fulton NY 13069-2904 |
| Practice Telephone | 3152986564 |
| Mailing Telephone | 3152986564 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 264788 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03456851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662006 | Anthony James Rotella | Specialist/Technologist | 735 Elwell Ave, West Mifflin, PA 15122-1122 | 2019-01-09 |
| Street Address |
510 S 4TH ST SUITE 600 |
| City | FULTON |
| State | NY |
| Zip Code | 13069-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669469912 | Sanjeev Kumar Verma | Anesthesiology | 510 S 4th St, Al Lee Memorial Hospital, Fulton, NY 13069-2904 | 2005-10-03 |
| 1801249594 | Lori L Marshall | Nurse Practitioner | 510 S 4th St, Suite 600, Fulton, NY 13069-2904 | 2016-07-18 |
| 1891195095 | Northern Oswego County Health Services, Inc. | Clinic/Center | 510 S 4th St, Suite 600, Fulton, NY 13069-2904 | 2014-08-26 |
| 1164854865 | Anne Filipski | Family Medicine | 510 S 4th St, Suite 600, Fulton, NY 13069-2904 | 2013-08-05 |
| 1053672261 | Rebecca Dottolo | Nurse Practitioner | 510 S 4th St, Fulton, NY 13069-2904 | 2012-06-04 |
| 1205015724 | Richard R Thompson | General Practice | 510 S 4th St, Fulton, NY 13069-2904 | 2007-11-01 |
| 1740476415 | Dennis Mullaney | Emergency Medicine | 510 S 4th St, Fulton, NY 13069-2904 | 2007-09-17 |
| 1538370101 | Robert Schweitzer | Nurse Anesthetist, Certified Registered | 510 S 4th St, Fulton, NY 13069-2904 | 2007-05-25 |
| 1669538294 | Dorothy Champney | Nurse Practitioner | 510 S 4th St, Fulton, NY 13069-2904 | 2006-12-28 |
| 1417012808 | Deinso Gillis-harry | Personal Emergency Response Attendant | 510 S 4th St, Fulton, NY 13069-2904 | 2006-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536915 | Doctor K LLC | Family Medicine | 11603 Pindell Woods Dr, Fulton, MD 20759-9752 | 2018-01-27 |
| 1972027464 | Curators of The University of Missouri | Family Medicine | 2613 Fairway Dr Ste C, Fulton, MO 65251-3789 | 2017-07-27 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1588045488 | Michael Miller | Family Medicine | 510 S 4th St Ste 600, Fulton, NY 13069-2904 | 2015-06-16 |
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1265505598 | Fulton County Medical Clinic PC | Family Medicine | 100 East Dunn St, Fulton, IN 46931 | 2006-11-16 |
| 1174606941 | Michael George Howell | Family Medicine | 204 Wheeler Dr, Fulton, MS 38843-8900 | 2006-10-23 |
| 1255341491 | Richard Perez Doisy | Family Medicine | 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 | 2006-08-09 |
| Find all providers in FULTON | ||||
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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.