Roan J Glocker (NPI# 1164623849, PAC ID# 6204086689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1164623849 |
| PAC ID by PECOS | 6204086689 |
| Professional Enrollment ID | I20140707000259 |
| Full Name | Roan J Glocker |
| Organization Legal Name | VASCULAR SURGERY OF THE UNIVERSITY |
| Address |
395 W St Suite 7 Canandaigua NY 14424-1723 |
| Phone Number | 5857580700 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2007 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1850333725 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330164 | HIGHLAND HOSPITAL |
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 395 W St, Suite 7, Canandaigua, NY 14424-1723 | 5857580700 | VASCULAR SURGERY OF THE UNIVERSITY |
| 1000 S Ave, Rochester, NY 14620-2733 | 5853419541 | VASCULAR SURGERY OF THE UNIVERSITY |
| 140 Canal View Blvd, Suite 103, Rochester, NY 14623-2808 | 5852795100 | VASCULAR SURGERY OF THE UNIVERSITY |
| 601 Elmwood Ave, Rochester, NY 14642-0001 | 5857587743 | VASCULAR SURGERY OF THE UNIVERSITY |
| Organization Legal Name | VASCULAR SURGERY OF THE UNIVERSITY |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Lynn Holdsworth | Nurse Practitioner | Vascular Surgery of The University | 140 Canal View Blvd, Suite 103, Rochester, NY 14623-2808 |
| Michael Clinton Stoner | Vascular Surgery | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Christina J D Agostino | Nurse Practitioner | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Christopher D Scibelli | Vascular Surgery | Vascular Surgery of The University | 3170 W St, Suite 275, Canandaigua, NY 14424-1711 |
| Arica N Ferguson | Physician Assistant | Vascular Surgery of The University | 140 Canal View Blvd, Suite 103, Rochester, NY 14623-2808 |
| Hannah A Mickle | Nurse Practitioner | Vascular Surgery of The University | 1000 S Ave, Rochester, NY 14620-2733 |
| Kathleen G Raman | Vascular Surgery | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Craig R Narins | Cardiovascular Disease (cardiology) | Vascular Surgery of The University | 140 Canal View Blvd, Suite 103, Rochester, NY 14623-2808 |
| Adam J Doyle | Vascular Surgery | Vascular Surgery of The University | 1000 S Ave, Rochester, NY 14620-2733 |
| Jennifer L Ellis | Vascular Surgery | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Street Address |
395 W ST SUITE 7 |
| City | CANANDAIGUA |
| State | NY |
| Zip | 14424-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepinder P Singh | Radiation Oncology | University of Rochester | 395 W St, Canandaigua, NY 14424-1723 |
| Michael Clinton Stoner | Vascular Surgery | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Sai S Reddy | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Catherine A Moore | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Christina J D Agostino | Nurse Practitioner | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Daniel A Gray | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Hugh W Adams Iii | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Kathleen G Raman | Vascular Surgery | Vascular Surgery of The University | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Rickinder S Grewal | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Tramanh X Phan | Nephrology | Strong Renal Group | 395 W St, Suite 7, Canandaigua, NY 14424-1723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Paul Carlino | Clinical Social Worker | 42 Nth Main St, Canandaigua, NY 14424 | |
| Thomas J Durham | Clinical Social Worker | 18 Douglas Dr, Canandaigua, NY 14424-1018 | |
| Theresa Beach | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Robert C Kaminski | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Phillip Geoffrey Cary | Maxillofacial Surgery | 500 N Main St, Canandaigua, NY 14424-1022 | |
| Michael B Priestman | Chiropractic | 11 N St, Suite 300, Canandaigua, NY 14424-1047 | |
| Leigh G Lafferty | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Robert L Smith | Family Medicine | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Erin Mahoney | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Ryan P Rademacker | Chiropractic | 23 N St, Suite 7, Canandaigua, NY 14424-1053 | |
| Find all physicians in zip 14424 | |||
| City | CANANDAIGUA |
| Zip Code | 14424 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | CANANDAIGUA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Roan J Glocker.
| 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.