ROCHESTER RADIOLOGY ASSOCIATES, P.C. (NPI# 1679541726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679541726 |
| Entity Type | Organization |
| Organization Name | ROCHESTER RADIOLOGY ASSOCIATES, P.C. |
| Practice Address |
1255 Portland Ave 2nd Floor Rochester NY 14621-2713 |
| Mailing Address |
1415 Portland Ave Suite 190 Rochester NY 14621-3038 |
| Practice Telephone | 5854678346 |
| Practice Fax Number | 5853365006 |
| Mailing Telephone | 5853365000 |
| Mailing Fax Number | 5853365006 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | DR. DANIEL R JACOBSON (PRESIDENT) |
| Authorized Official Telephone | 5859223220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 463658 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROCHESTER RADIOLOGY ASSOCIATES, P.C. | 1425 Portland Avenue, Rochester, New York 14621 |
| Street Address |
1255 PORTLAND AVE 2ND FLOOR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104158831 | Physical Therapy of Rochester, LLC | Clinic/Center | 1255 Portland Ave, Rochester, NY 14621 | 2010-02-05 |
| 1356533525 | Physical Therapy Associates of Rochester | Clinic/Center | 1255 Portland Ave, Rochester, NY 14621-2728 | 2007-08-13 |
| 1356402036 | Margaret Beale Oakden | Physical Therapist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-12-13 |
| 1306935747 | Sarah M Mensah | Physician Assistant | 1255 Portland Ave, 2nd Floor, Rochester, NY 14621-2713 | 2006-10-12 |
| 1386739514 | Podiatry Associates of Rochester, LLP | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-10-04 |
| 1083661078 | Jennifer Wool-cottone | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-27 |
| 1881643245 | Robert A Russo | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
| 1942250295 | Michael L Giordano | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
| 1851341101 | John G Addino | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1518209675 | Peter Alan Dvorak | Radiology | 36 Edgemont Rd, Rochester, NY 14620-4520 | 2013-03-26 |
| 1144519992 | Daniel C Oppenheimer | Radiology | 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 | 2011-04-01 |
| 1992094072 | Joel P Thompson | Radiology | 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 | 2011-03-29 |
| 1871793570 | Ian Jermaine Wilson | Radiology | 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996 | 2007-07-20 |
| 1487860482 | Nadia Fatima Yusaf | Radiology | 2623 South Clinton Ave, Rochester, NY 14618-2623 | 2007-05-15 |
| 1356413470 | Man-mei Nadine Su | Radiology | 1776 11th Ave Ne, Rochester, MN 55906-4215 | 2006-11-14 |
| 1639184377 | Arun Basu | Radiology | 601 Elmwood Ave # 648, Rochester, NY 14642-0001 | 2006-07-30 |
| 1811901135 | Devang Butani | Radiology | 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 | 2006-07-29 |
| 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.