MARC IACONA JR. (NPI# 1790281970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790281970 |
| Entity Type | Individual |
| Full Name | MARC IACONA JR. |
| Credential | MD |
| Practice Address |
16 Bank St Batavia NY 14020-2250 |
| Mailing Address |
358 Ambassador Dr Rochester NY 14610-3413 |
| Practice Telephone | 5858156760 |
| Mailing Telephone | 5853508826 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
16 BANK ST |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824705 | David Michael Newman | Family Medicine | 16 Bank St, Batavia, NY 14020-2250 | 2005-07-08 |
| 1255950515 | Jessica Gayle Oloughlin | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2020-04-15 |
| 1588293666 | Kathleen Odonnell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2020-04-02 |
| 1841751187 | Ryan Russell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2019-03-28 |
| 1619473592 | Riley Fernan | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2018-04-01 |
| 1588169775 | Anarkali Morrill | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2018-03-28 |
| 1053816397 | Bradley Tennant | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2018-03-28 |
| 1255867529 | Staci Olsen | Family Medicine | 16 Bank St, Batavia, NY 14020-2250 | 2017-05-05 |
| 1538510763 | Casey D. Nowak | Family Medicine | 16 Bank St, Batavia, NY 14020-2250 | 2016-06-29 |
| 1164871703 | Lindsey Dalka | Family Medicine | 16 Bank St, Batavia, NY 14020-2250 | 2016-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1467646117 | Jessica Louise Bougie | Student in an Organized Health Care Education/Training Program | 5130 East Main Street Road, Suite 2, Batavia, NY 14020-3496 | 2007-09-05 |
| 1740887140 | Timothy Wayne Eck | Student in an Organized Health Care Education/Training Program | 229 Summit St Ste 4, Batavia, NY 14020-1645 | 2020-10-08 |
| 1770195570 | Benjamin Street | Student in an Organized Health Care Education/Training Program | 5130 E Main St Ste 2, Batavia, NY 14020-3444 | 2020-08-21 |
| 1255950515 | Jessica Gayle Oloughlin | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2020-04-15 |
| 1033738836 | Shan Paul Dhanda | Student in an Organized Health Care Education/Training Program | 127 North St, Batavia, NY 14020-1631 | 2020-04-11 |
| 1588293666 | Kathleen Odonnell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2020-04-02 |
| 1245863596 | Paige Cromer | Student in an Organized Health Care Education/Training Program | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-02-14 |
| 1053953646 | Ashley R Stowell | Student in an Organized Health Care Education/Training Program | 5130 E Main St, Batavia, NY 14020-3444 | 2019-10-15 |
| 1740831825 | Jason Paul Condello | Student in an Organized Health Care Education/Training Program | 5130 E Main Street Rd Ste 2, Batavia, NY 14020-3444 | 2019-09-20 |
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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.