ANDREW SCOTT UDKOVICH (NPI# 1215467675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215467675 |
| Entity Type | Individual |
| Full Name | ANDREW SCOTT UDKOVICH |
| Credential | NP |
| Practice Address |
655 Colfax St Rochester NY 14606-3113 |
| Practice Telephone | 5853249750 |
| Mailing Telephone | 5853249750 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382750 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04843674 | 05 |
| Street Address |
655 COLFAX ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14606-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831355528 | Sarah Carlson | Speech-Language Pathologist | 655 Colfax St, Iit Room 3c13, Rochester, NY 14606-3113 | 2008-08-01 |
| 1295373009 | Karen Paulemon Strawder | Speech-Language Pathologist | 655 Colfax St, Rochester, NY 14606-3113 | 2019-12-12 |
| 1639627607 | Anne Marie Lafave | Speech-Language Pathologist | 655 Colfax St, Rochester, NY 14606-3113 | 2016-09-19 |
| 1003201724 | Kacie Switzer | Counselor | 655 Colfax St, Rochester, NY 14606-3113 | 2015-03-31 |
| 1194051375 | Lisa Lynn Crews | Social Worker | 655 Colfax St, Edison Tech. School Based Health Center, Rochester, NY 14606-3113 | 2009-10-23 |
| 1437485950 | Gwendolyn Russell | Social Worker | 655 Colfax St, Edison High School Based Health Center, Rochester, NY 14606-3113 | 2009-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047686 | Katherine Anne Blakely | Social Worker | 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 | 2020-03-04 |
| 1023501855 | Diana Moskalyuk | Registered Nurse | 57 Gates Manor Dr, Rochester, NY 14606 | 2018-06-06 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1275031171 | Meghan Elizabeth Wallace | Social Worker | 1305 Lyell Avenue, Rochester, NY 14606 | 2018-01-25 |
| 1114277860 | Debra A Bucklaew | Registered Nurse | 57 Baier Dr, Rochester, NY 14606 | 2012-09-10 |
| 1427327998 | Charita Y Murray | Licensed Practical Nurse | 48 Rogers Ave., Rochester, NY 14606 | 2011-12-29 |
| 1649556804 | Jamila Kali Miller | Family Medicine | 110 Canton St, Rochester, NY 14606 | 2011-11-01 |
| 1720375447 | Jasmine Marie Radcliff | Licensed Practical Nurse | 34 Ardella St, Rochester, NY 14606 | 2011-07-01 |
| 1104110766 | Ashly Jasmine Goodwill | Licensed Practical Nurse | 16 Glasser St, Rochester, NY 14606 | 2011-06-01 |
| 1497067359 | Shahada D Ware | Licensed Practical Nurse | 222 Mcnaughton St., Rochester, NY 14606 | 2010-07-08 |
| Find all providers in zip 14606 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126266 | Victoria Mack | Nurse Practitioner | 33 Landing Rd S, Rochester, NY 14610-3161 | 2020-05-21 |
| 1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
| 1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
| 1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
| 1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
| 1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
| 1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
| 1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
| 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.