ALYSON LEIGH CRAGLE (NPI# 1710532692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710532692 |
| Entity Type | Individual |
| Full Name | ALYSON LEIGH CRAGLE |
| Credential | PA |
| Practice Address |
4901 Lac De Ville Blvd Bldg D Rochester NY 14618-5647 |
| Mailing Address |
601 Elmwood Ave Box 665 Rochester NY 14642-0001 |
| Practice Telephone | 5852755321 |
| Practice Fax Number | 5852761202 |
| Mailing Telephone | 5852755321 |
| Mailing Fax Number | 5852761202 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
023997 | NY | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
023997 | OH | Allopathic & Osteopathic Physicians |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
023997 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Driving Park Ave Ste 4, Newark, NY 145131090 | 3153592696 | 3153592699 |
| 1425 Portland Ave, Rochester, NY 146213011 | 3157895061 | 3157895071 |
| 875 Pre Emption Rd, Geneva, NY 144562042 | 3157895061 | 3157895071 |
| Street Address |
4901 LAC DE VILLE BLVD BLDG D |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417249541 | Sandeep Paul Soin | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2011-05-08 |
| 1689273245 | Caitlyn Jean Williams | Physician Assistant | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2020-10-23 |
| 1194356188 | Valerie Jean Gotie | Nurse Practitioner | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2020-01-29 |
| 1639716954 | Tyler Viterise | Physical Therapist | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2019-12-05 |
| 1679120331 | Justine Mary Ross | Physician Assistant | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2019-08-19 |
| 1083170203 | Patricia Marie Venniro | Nurse Practitioner | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2019-02-12 |
| 1003304635 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618 | 2018-04-30 |
| 1720535883 | Renee Hetzler | Physical Therapist | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2016-09-07 |
| 1184076457 | Mary Veronica Carson | Nurse Practitioner | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2016-07-11 |
| 1992178081 | John Galbreath | Physical Therapist | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2015-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598188 | David J Ciufo | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2014-04-14 |
| 1992746705 | Adolph Samuel Flemister | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642-0001 | 2006-06-10 |
| 1881635266 | Benedict F Digiovanni | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642-0001 | 2006-06-09 |
| 1073554473 | Judith F Baumhauer | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642-0001 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424621 | Scott Jacob Ellis Md Pllc | Orthopaedic Surgery | 523 E 72nd St Fl 5, New York, NY 10021-4099 | 2020-10-16 |
| 1013579580 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 222 E Middle Country Rd Ste 108, Smithtown, NY 11787-2814 | 2019-07-03 |
| 1881119303 | Ashraf Maher Fansa | Orthopaedic Surgery | Hospital for Special Surgery Academic Training, 535 E 70th St, New York, NY 10021 | 2017-08-05 |
| 1033667779 | Foot & Ankle Orthopedic PC | Orthopaedic Surgery | 43 Robbins Dr, E Williston, NY 11596-2009 | 2016-09-12 |
| 1245330885 | Jessica B Gallina | Orthopaedic Surgery | 240 Central Park So, Ste 2-0, New York, NY 10019 | 2006-09-24 |
| 1902913791 | John G. Kennedy | Orthopaedic Surgery | 171 Delancey St Ste 210, New York, NY 10002-3411 | 2006-08-25 |
| 1912924713 | Interlakes Orthopaedic Surgery,pc | Orthopaedic Surgery | 293 W North St, Geneva, NY 14456-1530 | 2006-07-16 |
| 1730132432 | Steven C. Sheskier | Orthopaedic Surgery | 95 University Pl, 8th Floor, New York, NY 10003-4515 | 2006-05-17 |
| 1376537985 | Jaideep Chopra | Orthopaedic Surgery | 1324 Bergen St, Brooklyn, NY 11213-1530 | 2005-09-09 |
| 1093709610 | Sergine Desrosiers | Orthopaedic Surgery | 613 Throop Ave, Brooklyn, NY 11216-2522 | 2005-09-09 |
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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.