PEDIATRIC DEVELOPMENT CLINIC


Address: 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001
Phone: 5852757787

PEDIATRIC DEVELOPMENT CLINIC (NPI# 1346286895) 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) 1346286895
Entity Type Organization
Organization Name PEDIATRIC DEVELOPMENT CLINIC
Practice Address 601 Elmwood Ave
Box 635
Rochester
NY 14642-0001
Practice Telephone 5852757787
Mailing Telephone 5852757787
Enumeration Date 2006-06-22
Last Update Date 2018-03-09
Authorized Official Name JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
Authorized Official Telephone 5857564003
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
Allopathic & Osteopathic Physicians
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03032491 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326443607 Pediatric Development Clinic Clinic/Center 4846 Wind River Rd, Idaho Falls, ID 83401-5828 2014-10-28

Office Location

Street Address 601 ELMWOOD AVE
BOX 635
City ROCHESTER
State NY
Zip Code 14642-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324317 Marc Norman Berliant Internal Medicine 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 2005-05-23
1386245165 Stephanie Pilat Pharmacist 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-06
1396346276 Noah Ritzel Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-05
1811598790 Natalie Tanke Registered Nurse 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-05
1891394490 Muhamed Ahmic Nurse Anesthetist, Certified Registered 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-23
1619576543 Patricia Marie Reiber Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-21
1528667557 Alexandra Jessie Strutt Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-21
1750989323 Sarah Jones Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-15
1679171334 Audrey Linn Schroeder Genetic Counselor, MS 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-15
1013515568 Carla Katherine Muranyi Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679192363 Nicholas Campbell Love Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 2020-04-13
1750900650 Phillip Braun Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 2020-04-10
1437786993 Andrew Jeong Student in an Organized Health Care Education/Training Program Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 2020-03-25
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1326539909 Saumya Goel Aujla Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 664, Rochester, NY 14642 2018-05-19
1922505387 Daniel Bral Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 655, Rochester, NY 14642 2018-04-11
1194222513 Jonah Meyerhoff Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 2018-04-11
1144738949 Francis Michael Manzo Registered Nurse University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 2018-01-15
1225552649 George Norman Abraham Internal Medicine 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 2017-07-27
1861928301 Sonia Thakur Student in an Organized Health Care Education/Training Program 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 2017-05-03
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720090277 Jessica Reiffer Pediatrics 601 Elmwood Ave # 671, Rochester, NY 14642-0001 2006-08-13
1891966503 Abigail Kroening Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 2008-03-20
1922124999 Jara Johnson Pediatrics 1425 Portland Ave, Suite 204, Rochester, NY 14621-3001 2007-03-22
1033138615 Alva W Atkinson Pediatrics 124 Elton Hills Ln Nw, Rochester, MN 55901-3567 2006-07-18
1316975030 Stephen B Sulkes Pediatrics 601 Elmwood Ave, Box 671, Rochester, NY 14642-0001 2006-06-29
1639107949 Susan L Hyman Pediatrics 601 Elmwood Ave, Box 671, Rochester, NY 14642-0001 2006-06-28
1699730994 Scott R Smith Pediatrics 1445 Portland Ave, Suite 204, Rochester, NY 14621-3036 2006-04-19
1659341758 Richard D Olsen Pediatrics 200 1st St Sw, Rochester, MN 55905-0001 2006-01-23
1689654816 William J Barbaresi Pediatrics 200 1st St Sw, Rochester, MN 55905-0001 2006-01-23
1023094539 Flora Robinson Howie Pediatrics 200 1st St Sw, Rochester, MN 55905-0001 2005-12-16
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14642

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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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