JOHN T QUEENAN JR. (NPI# 1720012826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720012826 |
| Entity Type | Individual |
| Full Name | JOHN T QUEENAN JR. |
| Credential | M.D. |
| Practice Address |
601 Elmwood Ave Rochester NY 14642-0001 |
| Mailing Address |
601 Elmwood Ave Box 668 Rochester NY 14642-0001 |
| Practice Telephone | 5852754065 |
| Practice Fax Number | 5857565717 |
| Mailing Telephone | 5852750638 |
| Mailing Fax Number | 5852733359 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
218840 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | MDF691 | 01 |
| NY | AETNA | 4935069 | 01 |
| NY | BLUE SHIELD OF ROCHESTER | P010218840 | 01 |
| NY | 02104745 | 05 | |
| NY | BLUE CHOICE | P010218840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720064082 | John Queenan | Obstetrics & Gynecology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-12-19 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
| 1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
| 1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
| 1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
| 1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
| 1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| 1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
| 1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851763437 | Rochester Fertility Care, PC | Obstetrics & Gynecology | 1561 Long Pond Rd Ste 410, Rochester, NY 14626-4135 | 2015-10-22 |
| 1235225913 | Rosalind Ann Hayes | Obstetrics & Gynecology | 1561 Long Pond Road Suite 410, Rochester, NY 14626 | 2006-10-04 |
| 1578958229 | Colleen Miller | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-03-31 |
| 1679816607 | Tana Kim | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-03-27 |
| 1194043984 | Chandra C Shenoy | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0002 | 2010-05-04 |
| 1043447659 | Erin M Masaba | Obstetrics & Gynecology | 500 Red Creek Dr, Suite 220, Rochester, NY 14623-4284 | 2009-06-22 |
| 1376577478 | Kathleen Mary Hoeger | Obstetrics & Gynecology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-07-11 |
| 1447281381 | Reproductive Endocrinology Infertility Gp of Univ of Roch | Obstetrics & Gynecology | 500 Red Creek Drive, Suite 220, Rochester, NY 14623-4276 | 2006-07-06 |
| 1194755967 | Vivian Lewis | Obstetrics & Gynecology | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2006-07-04 |
| 1932136397 | David Samuel Guzick | Obstetrics & Gynecology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-06-28 |
| 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.