DIANA CHADDOCK


Address: 30 Hagen Dr, Suite 100, Rochester, NY 14625-2658
Phone: 5853382700

DIANA CHADDOCK (NPI# 1144497983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144497983
Entity Type Individual
Full Name DIANA CHADDOCK
Credential RN, NP
Practice Address 30 Hagen Dr
Suite 100
Rochester
NY 14625-2658
Practice Telephone 5853382700
Practice Fax Number 5852429663
Mailing Telephone 5853382700
Mailing Fax Number 5852429663
Enumeration Date 2008-05-12
Last Update Date 2015-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner F304798 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F304798 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02976112 05
HEALTHNOW 000933778001 01
MVP 1144497983 01
COMMUNITY BLUE 000933778002 01
BLUE CHOICE PO193404798 01
FIDELIS CARE 090109000075 01

Office Location

Street Address 30 HAGEN DR
SUITE 100
City ROCHESTER
State NY
Zip Code 14625-2658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023012770 John E. Turano Podiatrist 30 Hagen Dr, Ste 200, Rochester, NY 14625-2658 2005-06-10
1851839310 Gabrielle Marie Tanner Nurse Practitioner 30 Hagen Dr, Rochester, NY 14625-2658 2017-02-05
1194061432 Catena Chiropractic Care, PC Chiropractor 30 Hagen Dr, Suite 200, Rochester, NY 14625-2658 2012-12-13
1285862011 Susan V Areeckal Family Medicine 30 Hagen Dr, Suite 320, Rochester, NY 14625-2658 2009-07-01
1508094491 Kendrick Lee Anesthesiology 30 Hagen Dr, Suite 230, Rochester, NY 14625-2658 2009-06-30
1801978218 Jeffrey A Willis Physician Assistant 30 Hagen Dr, Suite 100, Rochester, NY 14625-2658 2006-10-19
1609972348 Linden Medical Group, LLP Internal Medicine 30 Hagen Dr, Suite 300, Rochester, NY 14625-2658 2006-09-16
1710990098 Ajai K. Nemani, Md Pllc Anesthesiology 30 Hagen Dr, Suite 230, Rochester, NY 14625-2658 2006-08-15
1679585103 Kellin Anne Davis King Internal Medicine 30 Hagen Dr, Suite 310, Rochester, NY 14625-2658 2006-08-13
1659381762 Roger R Ng Anesthesiology 30 Hagen Dr, Suite 230, Rochester, NY 14625-2658 2006-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205305729 Christopher Corona Psychologist 100 Linden Oaks, Suite 102, Rochester, NY 14625 2018-11-14
1770932147 Ashley Mills Optometrist 10 Woodcrest Dr, Rochester, NY 14625 2016-06-07
1003260837 Natalia Golub Internal Medicine 30 Hagen Dr Ste 320, Rochester, NY 14625 2016-04-18
1386051688 Amelia K Caraway Physician Assistant 20 Hagon Dr., Suite 300, Rochester, NY 14625 2014-07-18
1750793980 Eileen M Wayne Registered Nurse 36a Brook Hill Lane, Rochester, NY 14625 2014-05-22
1003241068 Timothy Sterling Cooper Chiropractor 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 2013-09-10
1740556265 Kelly M Limbeck Speech-Language Pathologist 2590 Atlantic Avenue, Denfield, NY 14625 2012-03-29
1952691743 Sandra Anne Swanson Massage Therapist 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 2011-04-13
1396994109 Celso E Dias Surgery 30 Hagen Dr Suite 120, Rochester, NY 14625 2008-09-17
1568643849 Richard F. Eagleton Pharmacist 1601 Penfield Road, Rochester, NY 14625 2007-11-15
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043829047 Ruhi Bedi Sondhi Nurse Practitioner 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 2020-07-26
1346865920 Christopher M Mccarty Nurse Practitioner 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 2020-06-10
1811510555 Stacey Sang Nurse Practitioner 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 2020-05-27
1093365280 Brittany Lewis Nurse Practitioner 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 2019-09-19
1245891431 Julie Loce Nurse Practitioner 222 Alexander St Ste 2400, Rochester, NY 14607-4010 2019-06-27
1467013433 Henry Robert Newcomb Nurse Practitioner 300 Crittendon Blvd, Rochester, NY 14642-0001 2019-06-21
1689159162 Mariya A Canham Nurse Practitioner 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 2018-10-01
1013447747 Lauren Beth Bartus Nurse Practitioner 601 Elmwood Ave # 619, Rochester, NY 14642-0001 2017-06-15
1730634502 Susan Lee Riggan Nurse Practitioner 408 Meadow Brook Rd, Rochester, MI 48309-4452 2016-08-22
1093197857 Katelynn Ann Coffey Nurse Practitioner 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 2015-06-29
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Competitor

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City ROCHESTER
Zip Code 14625

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Dataset Information

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.

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