PODIATRY AFFILIATE OF ROCHESTER PLLC (NPI# 1710490263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710490263 |
| Entity Type | Organization |
| Organization Name | PODIATRY AFFILIATE OF ROCHESTER PLLC |
| Practice Address |
1500 Portland Avenue Wound Healing Center Rochester NY 14621-3065 |
| Practice Telephone | 5859224325 |
| Practice Fax Number | 5854135011 |
| Mailing Telephone | 5859224325 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | DR. JOHN ELLIE JR. (CEO/PRESIDENT) |
| Authorized Official Telephone | 5859224325 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1500 PORTLAND AVENUE WOUND HEALING CENTER |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723136 | Diane Kane | Internal Medicine | 1500 Portland Avenue, St Anns Community, Rochester, NY 14621 | 2006-01-03 |
| 1225550148 | Sandhya A Sarlashkar | Dietitian, Registered | 1500 Portland Avenue, Rochester, NY 14621 | 2017-07-12 |
| 1699854109 | Annas Elaine Bircher | Nurse Practitioner | 1500 Portland Avenue, St. Ann's Community, Rochester, NY 14621 | 2006-11-03 |
| 1225067168 | St. Ann's Home for The Aged | Skilled Nursing Facility | 1500 Portland Avenue, Rochester, NY 14621 | 2006-07-02 |
| 1518946599 | Kim K Petrone | Internal Medicine | 1500 Portland Avenue, St Anns Community, Rochester, NY 14621 | 2006-01-10 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1770710683 | Katrina Jeanne Manos | Podiatrist | 2236 Ridge Rd W., Rochester, NY 14626-2804 | 2009-06-18 |
| 1336272517 | Stephen Edward Panetta | Podiatrist | 2768 Superior Drive Nw, Rochester, MN 55901 | 2007-03-14 |
| 1518054485 | Metro Footcare Associates L.l.p. | Podiatrist | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2006-10-10 |
| 1053417014 | Genesee Valley Podiatry LLP | Podiatrist | 500 W Whitney Road, Rochester, NY 14621-3064 | 2006-09-16 |
| 1942243993 | Kevin D Lind | Podiatrist | 210 9th St Se Ste 1, Rochester, MN 55904-6400 | 2006-06-14 |
| 1598718017 | Massimo Pietrantoni | Podiatrist | 382 White Spruce Blvd, Rochester, NY 14623-1604 | 2006-05-18 |
| 1902863863 | Louis J Tallo | Podiatrist | 2225 S Clinton Ave, Rochester, NY 14618-2623 | 2006-04-26 |
| 1386606630 | Joseph Larry Carbone | Podiatrist | 490 Titus Ave, Rochester, NY 14617-3541 | 2006-04-03 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on PODIATRY AFFILIATE OF ROCHESTER PLLC.
| 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.