BRENDA JEAN IANNUCCI (NPI# 1922068840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922068840 |
| Entity Type | Individual |
| Full Name | BRENDA JEAN IANNUCCI |
| Credential | M.D. |
| Practice Address |
1880 Ridge Rd E Suite 5 Rochester NY 14622-2473 |
| Practice Telephone | 5856977775 |
| Practice Fax Number | 5856977776 |
| Mailing Telephone | 5856977775 |
| Mailing Fax Number | 5856977776 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
196460-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1880 RIDGE RD E SUITE 5 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225218803 | Judy N Fletcher | Specialist | 1880 Ridge Rd E, Suite 2 and 3, Rochester, NY 14622-2473 | 2007-11-12 |
| 1073663456 | David Michael Comisar | Social Worker | 1880 Ridge Rd E, Rochester, NY 14622-2473 | 2007-01-10 |
| 1639257835 | Hristo Nikola Colakovski | Internal Medicine | 1880 Ridge Rd E, Suite 1b, Rochester, NY 14622-2473 | 2006-11-02 |
| 1134135247 | David Kevin Skeels | Dentist | 1880 Ridge Rd E, Suite 1a, Rochester, NY 14622-2473 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1083628838 | Anne M Olinger | Internal Medicine | 2021 Winton Rd S., Jewish Home of Rochester, Rochester, NY 14618 | 2006-07-28 |
| 1720049893 | Partners In Internal Medicine, LLP | Internal Medicine | 30 Hagen Dr., Suite 310, Rochester, NY 14625-1695 | 2006-03-29 |
| 1558364844 | G. Allen Power | Internal Medicine | St John's Home, 150 Highland Avenue, Rochester, NY 14620 | 2005-05-31 |
| 1558364851 | Marie Aydelotte | Internal Medicine | 2021 Winton Rd S, Rochester, NY 14618-3957 | 2005-05-31 |
| 1003426222 | Hanan Ibrahim Sheikh Ibrahim | Internal Medicine | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2020-08-03 |
| 1750812244 | Wesley Godfrey | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-03-25 |
| 1881145647 | Ali Ahmad | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2016-10-17 |
| 1003268483 | Karun Singh Badwal | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2016-07-08 |
| 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.