Rita Clement (NPI# 1508834201, PAC ID# 2567597990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1508834201 |
| PAC ID by PECOS | 2567597990 |
| Professional Enrollment ID | I20100324000083 |
| Full Name | Rita Clement |
| Organization Legal Name | SOUTHEAST OBSTETRICS AND GYNECOLOGY PC |
| Address |
990 S Ave Suite 104 Rochester NY 14620-2740 |
| Phone Number | 5852563000 |
| Gender | F |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9931234358 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330164 | HIGHLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 990 S Ave, Suite 104, Rochester, NY 14620-2740 | 5852563000 | SOUTHEAST OBSTETRICS AND GYNECOLOGY PC |
| Organization Legal Name | SOUTHEAST OBSTETRICS AND GYNECOLOGY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katina M Foster | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Amanda J Victory | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Raphael Tshibangu | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Sylvia Farnand | Nurse Practitioner | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Street Address |
990 S AVE SUITE 104 |
| City | ROCHESTER |
| State | NY |
| Zip | 14620-2740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katina M Foster | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Julia C Jacobson | Nurse Practitioner | Highlands Womens Health | 990 S Ave, Suite 103, Rochester, NY 14620-2740 |
| Amanda J Victory | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Mary L Ma | Obstetrics/gynecology | Highlands Womens Health | 990 S Ave, Suite 103, Rochester, NY 14620-2740 |
| Kristyn E Sousou | Nurse Practitioner | Highland Hospital of Rochester | 990 S Ave, Suite 207, Rochester, NY 14620-2762 |
| Raphael Tshibangu | Obstetrics/gynecology | Southeast Obstetrics and Gynecology PC | 990 S Ave, Suite 104, Rochester, NY 14620-2740 |
| Kathryn Elizabeth Somers | Dermatology | University Dermatology Associates | 990 S Ave, Suite 206, Rochester, NY 14620-2740 |
| Erika R Drury | Nephrology | Strong Renal Group | 990 S Ave, Suite 206, Rochester, NY 14620-2740 |
| Carole J Peterson | Obstetrics/gynecology | Highlands Womens Health | 990 S Ave, Suite 103, Rochester, NY 14620-2740 |
| Rebeca D Monk | Nephrology | Strong Renal Group | 990 S Ave, Suite 206, Rochester, NY 14620-2740 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Ford | Optometry | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Kimberly R Rosati | Optometry | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Paul J Caito | Optometry | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Marycarol Graby | Optometry | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Katherine G White | Optometry | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Loreyn Hansen | Occupational Therapy | Association for The Blind and Visually Impaired-goodwill Industries Of | 422 S Clinton Ave, Rochester, NY 14620-1103 |
| Lynne M Massaro | Nurse Practitioner | Highland Hospital of Rochester | 777 S Clinton Ave, Rochester, NY 14620-1401 |
| Susan H Mcdaniel | Psychologist, Clinical | 777 Clinton Ave S, Rochester, NY 14620-1448 | |
| Michael A Ockrin | Nurse Practitioner | Highland Hospital of Rochester | 777 Clinton Ave S, Rochester, NY 14620-1448 |
| Joseph W Lyman | Nurse Practitioner | Highland Hospital of Rochester | 777 Clinton Ave S, Rochester, NY 14620-1448 |
| Find all physicians in zip 14620 | |||
| City | ROCHESTER |
| Zip Code | 14620 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ROCHESTER + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.