ROCHESTER GENERAL HOSPITAL (NPI# 1174990303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174990303 |
| Entity Type | Organization |
| Organization Name | ROCHESTER GENERAL HOSPITAL |
| Other Organization Name | RRH FAMILY MEDICINE @RIT |
| Practice Address |
181 Lomb Memorial Dr Rochester NY 14623-5608 |
| Practice Telephone | 5859223100 |
| Practice Fax Number | 5859223106 |
| Mailing Telephone | 5859223100 |
| Mailing Fax Number | 5859223106 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | PAULA TINCH (SENIOR VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 5859221223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RRH Family Medicine @RIT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847489 | Rochester General Hospital | Pharmacy | 1425 Portland Ave Bldg 1, Rochester, NY 14621-3011 | 2017-12-26 |
| 1447685342 | Rochester General Hospital | Clinic/Center | 2010 Empire Blvd, Webster, NY 14580-1915 | 2013-09-10 |
| 1508019399 | Rochester General Hospital | Orthopaedic Surgery | 1204 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1023105376 | Rochester General Hospital | Pharmacy | 1415 Portland Ave Ste 125, Rochester, NY 14621-3039 | 2006-10-06 |
| 1063454619 | Rochester General Hospital | Clinic/Center | 370 Ridge Rd E, Rochester, NY 14621-1208 | 2006-06-11 |
| 1871070409 | Rochester General Hospital | Pharmacy | 1455 E Ridge Rd, Rochester, NY 14621 | 2018-07-26 |
| 1437665833 | Rochester General Hospital | Pharmacy | 77 Sullys Trl, Pittsford, NY 14534 | 2017-12-20 |
| 1518400688 | Rochester General Hospital | Clinical Medical Laboratory | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-11-22 |
| 1396198651 | Rochester General Hospital | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-07-21 |
| 1639563968 | Rochester General Hospital | General Acute Care Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 | 2015-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCHESTER GENERAL HOSPITAL, THE | 1425 Portland Ave, Rochester, NY 14621-3011 |
| Street Address |
181 LOMB MEMORIAL DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548283518 | Eric Wilcox | Family Medicine | 181 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2006-07-25 |
| 1073085593 | Alyssa Ratajczak | Physician Assistant | 181 Lomb Memorial Dr, Rochester, NY 14623 | 2018-12-21 |
| 1831542752 | Cassandra Berbary | Counselor | 181 Lomb Memorial Dr, Rochester, NY 14623 | 2016-07-15 |
| 1801203955 | Mackenzie A. Neal | Physician Assistant | 181 Lomb Memorial Dr, Rochester, NY 14623-5690 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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.