WESTSIDE PODIATRY GROUP LLC (NPI# 1427108992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427108992 |
| Entity Type | Organization |
| Organization Name | WESTSIDE PODIATRY GROUP LLC |
| Practice Address |
2236 Ridge Rd W Rochester NY 14626-2804 |
| Practice Telephone | 5852252290 |
| Practice Fax Number | 5852251367 |
| Mailing Telephone | 5852252290 |
| Mailing Fax Number | 5852251367 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | MR. KAREN JEAN PUTNAM (FINANCIAL MANAGER) |
| Authorized Official Telephone | 5852252290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
2236 RIDGE RD W |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902956436 | Daniel Caiola | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1053791558 | Evan Verbofsky | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14624 | 2015-06-01 |
| 1295884724 | Ronald Melvin Freeling | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1588714042 | Daniel Eric Tellem | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730623869 | Westside Podiatry Group | Podiatrist | 507 Beahan Rd, Rochester, NY 14624-3403 | 2016-12-08 |
| 1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
| 1902956436 | Daniel Caiola | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1386601367 | Michael Gruttadauria | Podiatrist | 1081 Long Pond Rd, Suite 130, Rochester, NY 14626-5002 | 2006-04-26 |
| 1851393870 | Bhaskar Bhattacharyya | Podiatrist | 1404 Portland Avenue, Rochester, NY 14621-3016 | 2005-08-10 |
| 1487198511 | Westside Podiatry Group | Podiatrist | 919 Westfall Rd, Bluiding C Suite 130, Rochester, NY 14618-2638 | 2016-12-08 |
| 1518259688 | Arthur S Wright Dpm PC | Podiatrist | 1706 Westfall Rd, Rochester, NY 14618-2743 | 2011-05-09 |
| 1316193402 | Arthur S Wright Dpm PC | Podiatrist | 1706 Westfall Rd, Rochester, NY 14618-2743 | 2008-08-08 |
| 1295884724 | Ronald Melvin Freeling | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1588714042 | Daniel Eric Tellem | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 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.