EDIE L DERIAN (NPI# 1811963978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811963978 |
| Entity Type | Individual |
| Full Name | EDIE L DERIAN |
| Credential | M.D. |
| Practice Address |
1415 Portland Ave Ste 400 Rochester NY 14621-3022 |
| Practice Telephone | 5859224200 |
| Practice Fax Number | 5859224922 |
| Mailing Telephone | 5859224200 |
| Mailing Fax Number | 5859224922 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
281646 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001882980 | 05 |
| Street Address |
1415 PORTLAND AVE STE 400 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992328306 | Christy Ann Neese | Midwife | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2020-05-20 |
| 1922627066 | Aloriba Zainab Britt | Midwife | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2020-04-09 |
| 1902445679 | Katie L Phillips | Advanced Practice Midwife | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2019-12-30 |
| 1598253940 | Corrine Marie Wilson | Social Worker | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2018-05-01 |
| 1073029021 | Danielle Nana Ekua Assibu-gilmore | Advanced Practice Midwife | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2017-12-28 |
| 1376939942 | Carol Elizabeth Rodriguez | Obstetrics & Gynecology | 1415 Portland Ave Ste 400, Rochester, NY 14621 | 2015-04-10 |
| 1518372473 | Kimberly Gemayel | Nurse Practitioner | 1415 Portland Ave Ste 400, Rochester, NY 14621 | 2014-06-30 |
| 1164711370 | Meghan Pratts O'connor | Obstetrics & Gynecology | 1415 Portland Ave Ste 400, Rochester, NY 14621 | 2011-03-29 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124277900 | John Earl Maye | Obstetrics & Gynecology | 57 Northview Ter, Rochester, NY 14621-3125 | 2008-09-16 |
| 1093929358 | Franklin Ross Baxter | Obstetrics & Gynecology | 1174 Titus Ave., Rochester, NY 14617 | 2007-05-09 |
| 1154364156 | David Foster | Obstetrics & Gynecology | 500 Red Creek Dr, Suite 110, Rochester, NY 14623-4284 | 2006-06-14 |
| 1770548281 | Victor A Poleshuck | Obstetrics & Gynecology | 33 Woodbury Pl, Rochester, NY 14618-3440 | 2006-04-18 |
| 1902869464 | Peter Kogut | Obstetrics & Gynecology | 1820 S Clinton Ave, Rochester, NY 14618-2608 | 2006-04-07 |
| 1255339883 | Kenneth M Palmer | Obstetrics & Gynecology | 1650 4th St Se, Rochester, MN 55904-4717 | 2005-07-08 |
| 1902372782 | Robert M. Biernbaum, D.o., P.C. | Obstetrics & Gynecology | 2225 S Clinton Ave, Rochester, NY 14618-2664 | 2018-10-18 |
| 1770878928 | Jill A Moes | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-06-16 |
| 1700058575 | Morris Wortman Md Pllc | Obstetrics & Gynecology | 2020 S Clinton Ave, Rochester, NY 14618-5703 | 2008-04-01 |
| 1447420153 | Hilary J. Cholhan, Md, Pllc | Obstetrics & Gynecology | 500 Helendale Rd, Suite 265, Rochester, NY 14609-3173 | 2008-03-10 |
| 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.