Michael J Decicco (NPI# 1255355202, PAC ID# 3375571458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1255355202 |
| PAC ID by PECOS | 3375571458 |
| Professional Enrollment ID | I20070802000473 |
| Full Name | Michael J Decicco |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES |
| Address |
64 Elizabeth Blackwell St Geneva NY 14456-3403 |
| Phone Number | 3157892153 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1991 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2860395795 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330058 | FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL |
| 331314 | SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES |
| Address | Phone | Organization |
|---|---|---|
| 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 | 3157892153 | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Cramer | Physician Assistant | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Alexander K Mandych | Otolaryngology | University Otolaryngology Associates | 36 Ellicott St, Suite 2, Batavia, NY 14020-3137 |
| John W Wayman | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Li-xing Man | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Timothy D Doerr | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Sveta A Karelsky | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Hitomi Sakano | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Chase H Miller | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Robert Nathan Strominger | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Matthew C Miller | Otolaryngology | University Otolaryngology Associates | 2365 Clinton S Ave, Suite 200, Rochester, NY 14618-2663 |
| Street Address |
64 ELIZABETH BLACKWELL ST |
| City | GENEVA |
| State | NY |
| Zip | 14456-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline E Karlsen | Nurse Practitioner | University Otolaryngology Associates | 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 |
| Gregory G Carnevale | Otolaryngology | University Otolaryngology Associates | 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 |
| Emma M Brixen | Physician Assistant | University Otolaryngology Associates | 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 |
| Amanda Mckallip | Qualified Audiologist | Finger Lakes Hearing Center Inc | 64 Elizabeth Blackwell St, C, Geneva, NY 14456-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen A Johnston | Clinical Social Worker | 4816 Route 14a, Hall, NY 14456 | |
| Richard R Stout | Ophthalmology | 70 Mason St, Geneva, NY 14456-1104 | |
| Joseph T Perillo | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Lawrence E Larussa | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Marcie Struck | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Joseph K Perillo | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| John K Maurer | Optometry | 749 Preemption Rd, Geneva, NY 14456-1335 | |
| Chester A Scerra Jr. | Optometry | Strong Eye Care | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Benjamin P Hammond | Ophthalmology | University of Rochester Pediatric Ophthalmology Services | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Christian S Klein | Ophthalmology | Strong Eye Care | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Find all physicians in zip 14456 | |||
| City | GENEVA |
| Zip Code | 14456 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GENEVA + OTOLARYNGOLOGY |
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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.