JOHN D CULLEN (NPI# 1366761991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366761991 |
| Entity Type | Individual |
| Full Name | JOHN D CULLEN |
| Credential | M.D. |
| Practice Address |
2655 Ridgeway Ave Suite 420 Rochester NY 14626-4296 |
| Practice Telephone | 5857237972 |
| Mailing Telephone | 5857237972 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
279385 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
279385 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04187702 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 739 Irving Ave Ste 340, Syracuse, NY 132101605 | 3154707747 | 3154707758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790831998 | John Archibald Cullen | Chiropractor | 21 S Roosevelt Ave, Pasadena, CA 91107-4124 | 2007-01-28 |
| 1881781185 | John S Cullen | Family Medicine | 1001 Meals Ave., Valdez, AK 99686 | 2006-10-06 |
| 1700045564 | John Patrick Cullen | Surgery | 4760 E Galbraith Rd, Suite 108, Cincinnati, OH 45236-6703 | 2008-06-06 |
| 1104035260 | John Patrick Cullen | Marriage & Family Therapist | 415 W Route 66, 202, Glendora, CA 91740-4335 | 2007-05-22 |
| 1144432972 | John C. Cullen | Counselor | 5208 Classen Cir, Oklahoma City, OK 73118-4429 | 2007-05-04 |
| 1538269253 | John F Cullen | Family Medicine | 290 Clyde Morris Blvd, Ste D2, Ormond Beach, FL 32174 | 2006-09-23 |
| Street Address |
2655 RIDGEWAY AVE SUITE 420 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944812 | Debra Roy Keller | Physician Assistant | 2655 Ridgeway Ave, Suite 180, Rochester, NY 14626-4296 | 2005-06-30 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1487290318 | Scott Gogstetter | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-26 |
| 1033755178 | Colleen Marie Mitrano | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-25 |
| 1396381018 | Diana L Hauman | Occupational Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-19 |
| 1144772328 | Olufolake Lukula | Nurse Practitioner | 2655 Ridgeway Ave, Suite 440, Rochester, NY 14626-4296 | 2016-11-03 |
| 1073970372 | Katharine R Wilson | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2016-01-19 |
| 1356706857 | Kelly A Lockwood | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-28 |
| 1225493893 | Susan Thomas | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
| 1245695816 | Donald Gravett | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1255728143 | Blanca Yvette Valdovinos | Psychiatry & Neurology | 919 Westfall Rd Building C, Suite 100, Rochester, NY 14618-0001 | 2015-04-19 |
| 1881000271 | James Young Shou | Psychiatry & Neurology | 1425 Portland Ave # 220, Rochester, NY 14621-3011 | 2014-07-07 |
| 1891059259 | Karlo John Lizarraga Mendoza | Psychiatry & Neurology | 919 Westfall Rd., Building C, Suite 100, Rochester, NY 14618-2692 | 2012-06-30 |
| 1316213291 | Christopher Tarolli | Psychiatry & Neurology | 601 Elmwood Ave Box Mind, University of Rochester Medical Ctr, Rochester, NY 14642-0001 | 2012-03-26 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1629233861 | Jacob Dominik | Psychiatry & Neurology | 755 Jefferson Rd, Ste 110, Rochester, NY 14623-3233 | 2008-07-28 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1023138799 | Charles Michel Lavigne | Psychiatry & Neurology | 2180 Clinton Ave S, Rochester, NY 14618 | 2007-03-29 |
| 1861591547 | Michael E Yurcheshen | Psychiatry & Neurology | 2337 S Clinton Ave, Rochester, NY 14618 | 2006-09-21 |
| 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.