ZACHARY A. KOEHN (NPI# 1164837977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164837977 |
| Entity Type | Individual |
| Full Name | ZACHARY A. KOEHN |
| Credential | DO |
| Practice Address |
3379 Chili Ave Ste 100 Rochester NY 14624 |
| Mailing Address |
3379 Chili Ave Ste 100 Rochester NY 14624-5325 |
| Practice Telephone | 5858890750 |
| Practice Fax Number | 5858890759 |
| Mailing Telephone | 5858890750 |
| Mailing Fax Number | 5858890759 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 294277 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3379 CHILI AVE STE 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790085264 | Nicole J Gaden | Physician Assistant | 3379 Chili Ave Ste 100, Rochester, NY 14624 | 2010-10-29 |
| 1992302665 | Rachel Vazquez | Counselor | 3379 Chili Ave Ste 100, Rochester, NY 14624-5367 | 2020-10-06 |
| 1275062481 | Julie Lynne Gallo | Family Medicine | 3379 Chili Ave Ste 100, Rochester, NY 14624-5367 | 2017-06-09 |
| 1447796024 | Danielle N Adam | Nurse Practitioner | 3379 Chili Ave Ste 100, Rochester, NY 14624-5325 | 2017-01-06 |
| 1407234743 | Matthew Louis Behrman | Family Medicine | 3379 Chili Ave Ste 100, Rochester, NY 14624 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| 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 |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1982132635 | Stephanie Parvan | Family Medicine | 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 | 2017-05-25 |
| 1659804169 | Natasha Vadera | Family Medicine | Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 | 2017-04-11 |
| 1467804203 | Izabela Teresa Subczynska | Family Medicine | 454 E Broad St Ste 100, Rochester, NY 14607-1724 | 2016-07-05 |
| 1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1851705628 | Resika Ubayawardena | Family Medicine | 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 | 2014-06-19 |
| 1942613344 | Lishan Jhanealle Walker | Family Medicine | 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 | 2014-06-04 |
| 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.