BLOSSOM ROAD MEDICINE, PLLC


Address: 780 Blossom Rd, Rochester, NY 14610-1914
Phone: 5854821141

BLOSSOM ROAD MEDICINE, PLLC (NPI# 1376948893) 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) 1376948893
Entity Type Organization
Organization Name BLOSSOM ROAD MEDICINE, PLLC
Practice Address 780 Blossom Rd
Rochester
NY 14610-1914
Practice Telephone 5854821141
Practice Fax Number 5852704153
Mailing Telephone 5854821141
Mailing Fax Number 5852704153
Enumeration Date 2014-10-27
Last Update Date 2014-10-27
Authorized Official Name MS. SANDRA BOEHLERT (PHYSICIAN)
Authorized Official Telephone 5854821141
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
205303 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY NPI 1 1457343972 01

Office Location

Street Address 780 BLOSSOM RD
City ROCHESTER
State NY
Zip Code 14610-1914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811922180 Santo William Bentivegna Psychologist 780 Blossom Rd, Rochester, NY 14610 2006-07-12
1952618753 Lynne Elizabeth Weiler Nurse Practitioner 780 Blossom Rd, Rochester, NY 14610-1914 2010-09-01
1699942961 Ernest T. Anderson, Md, PC Clinic/Center 780 Blossom Rd, Rochester, NY 14610-1914 2008-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417511122 Marisa Volinsky Social Worker 2300 East Ave, Rochester, NY 14610 2019-04-28
1023396124 Elissa Sara Strassman Dietitian, Registered 1441 East Avenue Suite 7d, Rochester, NY 14610 2011-07-25
1750695169 Tracy Lee Pattison Licensed Practical Nurse 989 Blossom Road, Rochester, NY 14610 2010-07-28
1881926558 Joshua Benjamin Rittenberg Chiropractor 1641 East Avenue, Rochester, NY 14610 2010-02-05
1922233584 Patricia Renee Tolbert Licensed Practical Nurse 257 North Winton Road, Rochester, NY 14610 2009-05-26
1851556716 Ann Marie Geyer Registered Nurse 62 Balsam Street, Rochester, NY 14610 2008-07-21
1871751289 Ann Deborah Livingston-gagni Licensed Practical Nurse 158 Nunda Blvd, Rochester, NY 14610 2008-06-02
1659542652 Charles F Coyle Jr Dpm Podiatrist 555 N Winton Rd, Rochester, NY 14610 2008-03-18
1588832638 Paula Marie Moore Registered Nurse 381 Beresford Road, Rochester, NY 14610 2008-02-12
1902097314 Rosamond Blakeslee Registered Nurse 107 San Gabriel Drive, Rochester, NY 14610 2007-08-09
Find all providers in zip 14610

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548583305 University of Rochester Clinic/Center 738 Library Rd., 270617, Rochester, NY 14627-0617 2010-03-09
1538366224 Rochester Family Medicine Clinic Pa Clinic/Center 40 16th St Se Ste E, Rochester, MN 55904-7987 2007-06-27
1629286265 Highland Hospital Clinic/Center 1381 South Ave, Rochester, NY 14620-2830 2007-05-18
1053778654 Adult Complex Care Center Clinic/Center 905 Culver Rd, Rochester, NY 14609-7115 2016-01-27
1649604513 Zumbro Valley Health Center Clinic/Center 343 Woodlake Dr Se, Rochester, MN 55904-6242 2013-08-28
1134477334 His Branches, Inc. Clinic/Center 340 Arnett Blvd, Rochester, NY 14619-1147 2012-08-17
1518193713 Spectrum Internal Medicine Pllc Clinic/Center 1445 Portland Ave, Suite 302, Rochester, NY 14621-3036 2009-06-03
1548423874 Caritas Family Medicine Pllc Clinic/Center 1501 East Ave, Suite 105, Rochester, NY 14610-1657 2008-07-07
1659538767 Shivender K. Thakur Physician PC Clinic/Center 890 Westfall Rd, Rochester, NY 14618-2610 2008-05-18
1699942961 Ernest T. Anderson, Md, PC Clinic/Center 780 Blossom Rd, Rochester, NY 14610-1914 2008-05-14
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14610

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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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