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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
205303 | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NPI 1 | 1457343972 | 01 |
Street Address |
780 BLOSSOM RD |
City | ROCHESTER |
State | NY |
Zip Code | 14610-1914 |
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 |
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 Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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 |
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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.