DIANA CHADDOCK (NPI# 1144497983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
30 HAGEN DR SUITE 100 |
City | ROCHESTER |
State | NY |
Zip Code | 14625-2658 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 14625 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
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.