MR. RICHARD HOWARD DETER


Address: 130 Plymouth Ave S, Rochester, NY 14614-2209
Phone: 5857534243

MR. RICHARD HOWARD DETER (NPI# 1235358227) 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) 1235358227
Entity Type Individual
Full Name MR. RICHARD HOWARD DETER
Credential MS, PA-C
Practice Address 130 Plymouth Ave S
Rochester
NY 14614-2209
Mailing Address 60 Cardiana Dr
Rochester
NY 14612-1620
Practice Telephone 5857534243
Practice Fax Number 5854289152
Mailing Telephone 5852279153
Enumeration Date 2007-04-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
000830 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 130 PLYMOUTH AVE S
City ROCHESTER
State NY
Zip Code 14614-2209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508828559 Janice Mckae Physician Assistant 130 Plymouth Ave S, Ccs, Rochester, NY 14614-2209 2006-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476314 Roderick Carlton Nelson Jr. Non-emergency Medical Transport (VAN) 250 Mill Street, First Foor, Rochester, NY 14614 2020-01-07
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1255685020 Winch Chiropractic, PC Chiropractor 242 W. Main St., Suite 101, Rochester, NY 14614 2012-11-01
1972876167 Diane Marie Alexander Social Worker 131 West Broad Street, Rcsd, Rochester, NY 14614 2012-02-17
1043592280 Karen Richards Rulison Social Worker 131 W Broad Street, Rochester, NY 14614 2011-09-14
1912924697 Interim Healthcare of Rochester, Inc. Home Health 1 S. Washington Street, Rochester, NY 14614 2006-07-17
1841686482 Maxim Health Care Home Health 151 State St, 100, Rochester, NY 14614 2015-04-10
1508119611 Joanna Schuler Speech-Language Pathologist 131 W Broad St, Rochester, NY 14614 2012-10-26
1356694087 Roberta Lynn Mcgill Social Worker 131 West Broad Street, Rochester, NY 14614 2012-10-18
1043857121 Sean W Brouty Social Worker 250 Mill St Ste 405, Rochester, NY 14614-1026 2019-12-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1659923704 Colin J Montgomery Physician Assistant 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 2019-07-09
1184183592 Jera Delibashi Physician Assistant 89 Genesee St Fl 3, Rochester, NY 14611-3201 2019-03-15
1255808309 Lauren Leigh D'hont Physician Assistant 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 2018-10-26
1124547823 Lucas Polito Physician Assistant 1724 East Ridge Road, Rochester, NY 14622 2017-09-13
1629523956 Reggie Testa Cayetano Physician Assistant 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 2016-08-16
1891248373 Padma Priya Rathina Sabapathy Physician Assistant 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 2016-08-01
1821407669 Amy C Dvorak Physician Assistant 1425 Portland Ave # 306, Rochester, NY 14621-3001 2014-08-06
1154741742 Amanda Buckner Physician Assistant 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 2014-04-22
1053749614 Amy Desantis Physician Assistant 9 Merrydale Drive, Rochester, NY 14624 2013-10-17
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Competitor

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City ROCHESTER
Zip Code 14614

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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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