AUDWIN JOSEPH PANGILINAN (NPI# 1972566719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972566719 |
| Entity Type | Individual |
| Full Name | AUDWIN JOSEPH PANGILINAN |
| Credential | M.D. |
| Practice Address |
2655 Ridgeway Ave Suite 240 Rochester NY 14626-4296 |
| Practice Telephone | 5857237060 |
| Practice Fax Number | 5857237325 |
| Mailing Telephone | 5857237060 |
| Mailing Fax Number | 5857237325 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
197797 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02154396 | 05 |
| Street Address |
2655 RIDGEWAY AVE SUITE 240 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944812 | Debra Roy Keller | Physician Assistant | 2655 Ridgeway Ave, Suite 180, Rochester, NY 14626-4296 | 2005-06-30 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1487290318 | Scott Gogstetter | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-26 |
| 1033755178 | Colleen Marie Mitrano | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-25 |
| 1396381018 | Diana L Hauman | Occupational Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-19 |
| 1144772328 | Olufolake Lukula | Nurse Practitioner | 2655 Ridgeway Ave, Suite 440, Rochester, NY 14626-4296 | 2016-11-03 |
| 1073970372 | Katharine R Wilson | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2016-01-19 |
| 1356706857 | Kelly A Lockwood | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-28 |
| 1225493893 | Susan Thomas | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
| 1245695816 | Donald Gravett | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407297260 | Ryan Patrick Lydon | Surgery | 1445 Portland Ave Ste 108, Rochester, NY 14621-3008 | 2013-07-09 |
| 1063749927 | Joseph Edward Geary | Surgery | 95 Council Rock Ave, 95 Council Rock Ave, Rochester, NY 14610-2501 | 2009-11-12 |
| 1063421691 | Ronen Haeem Jhirad | Surgery | 3525 Buffalo Rd, Rochester, NY 14624-1119 | 2006-08-05 |
| 1700856275 | Bradley M Sweda | Surgery | 1135 W University Dr Ste 230, Rochester, MI 48307-1890 | 2006-01-25 |
| 1306822481 | Michael Southworth | Surgery | 6 Healthcare Dr Ste 1, Rochester, NH 03867-4499 | 2005-12-20 |
| 1134103054 | Michael C Stoner | Surgery | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2005-12-05 |
| 1679100937 | Jesse Chait | Surgery | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-03-26 |
| 1235762972 | Mohammad Rachad Mohammad Walid Wehbe | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-8410 | 2020-02-21 |
| 1699235689 | Armin Farazdaghi | Surgery | 200 First Street Sw, Rochester, MN 55905-0001 | 2019-03-25 |
| 1376027409 | Sara Forsythe | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2018-09-25 |
| 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.