DR. JOHN ERASMUS KLIBANOFF (NPI# 1255391652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255391652 |
| Entity Type | Individual |
| Full Name | DR. JOHN ERASMUS KLIBANOFF |
| Credential | M.D. |
| Practice Address |
2410 Ridgeway Ave Rochester NY 14626-4114 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5857232843 |
| Practice Fax Number | 5857236877 |
| Mailing Telephone | 5859220553 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 198309 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01565719 | 05 | |
| NY | RR MEDICARE | 200026915 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Linden Oaks Ste 100, Rochester, NY 146252814 | 5857232845 | 5857236877 |
| Street Address |
2410 RIDGEWAY AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952361099 | Orthopaedic Associates of Rochester, PC | Orthopaedic Surgery | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-03-24 |
| 1023464203 | Scott Joseph Biehl | Family Medicine | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2016-05-06 |
| 1326430984 | Stephen Casey | Orthopaedic Surgery | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2015-02-19 |
| 1760628465 | Brigid Patricia O'rourke | Physician Assistant | 2410 Ridgeway Ave, Rochester, NY 14626 | 2008-12-30 |
| 1306871652 | Christina T Hatfield | Physician Assistant | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-07-12 |
| 1548201577 | Samuel Bean | Nurse Practitioner | 2410 Ridgeway Ave, Rochester, NY 14626 | 2006-06-09 |
| 1376504175 | David A Paniccia | Physician Assistant | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-03-31 |
| 1265492698 | Michael A Colucci | Orthopaedic Surgery | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-03-28 |
| 1396705703 | Robert Little Jr. | Orthopaedic Surgery | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-03-28 |
| 1437110889 | Christine A. Hamblin | Physician Assistant | 2410 Ridgeway Ave, Rochester, NY 14626-4114 | 2006-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982538 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 10 S Pointe Lndg Ste 100, Rochester, NY 14606-3481 | 2018-08-14 |
| 1568713584 | A. Ronald Rook | Orthopaedic Surgery | 2660 Fairway Ct, Rochester, MI 48306-4953 | 2012-10-01 |
| 1245588680 | Louis C Okafor | Orthopaedic Surgery | 41 Stewart St, Apartment A, Rochester, NY 14620-2822 | 2012-08-15 |
| 1417249541 | Sandeep Paul Soin | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2011-05-08 |
| 1588956601 | Michael C M Yip | Orthopaedic Surgery | The Linden Oaks Medical Campus, 30 Hagen Drive, Suite 22, Rochester, NY 14625-2658 | 2011-05-08 |
| 1083903371 | Matthew C Bessette | Orthopaedic Surgery | 20 Hagen Dr Ste 110, Rochester, NY 14625-2665 | 2011-04-07 |
| 1467606939 | Sherwin Goldman | Orthopaedic Surgery | 715 Woodhaven Ct Ne, Rochester, MN 55906-6936 | 2008-11-11 |
| 1679722888 | John Steven Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr, Suite 100, Rochester, MI 48307 | 2008-09-11 |
| 1750549143 | Susan M Mcdowell | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-06-02 |
| 1407045602 | Nicholas S. Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr., Rochester, MI 48307 | 2007-10-24 |
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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.