AMANDA ROSE GREEN (NPI# 1578162624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578162624 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE GREEN |
| Credential | PA-C |
| Practice Address |
2655 Ridgeway Ave Rochester NY 14626-4296 |
| Mailing Address |
483 Apple Orchard Ln Webster NY 14580-1230 |
| Practice Telephone | 5857237972 |
| Mailing Telephone | 5856901153 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 025170-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| 1063979078 | Amanda Green | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-02-26 |
| Street Address |
2655 RIDGEWAY AVE |
| 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 |
| 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 |
| 1477918050 | Adam M Shutts | 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1336755065 | Katherine Zazulak | Physician Assistant | Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-09-18 |
| 1609489632 | Michelle Sierant | Physician Assistant | 4847 Carrington Dr, Rochester, MI 48306-1496 | 2020-08-28 |
| 1558971812 | Kelly Ann Probst | Physician Assistant | 136 Seminole Way, Rochester, NY 14618-1348 | 2020-08-03 |
| 1750999645 | Paulina Maria Mager | Physician Assistant | 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 | 2020-07-17 |
| 1013534841 | Andrew Mcleod | Physician Assistant | 4631 Deer Springs Ct, Rochester, MI 48306-4733 | 2020-06-27 |
| 1295359123 | Jenna Geary | Physician Assistant | 193 Avon Rd, Rochester, NY 14625-1932 | 2020-06-06 |
| 1063047637 | Megan Thornton | Physician Assistant | Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 | 2020-03-04 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 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.