ROCHESTER LIFESTYLE MEDICINE PLLC (NPI# 1013380823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013380823 |
| Entity Type | Organization |
| Organization Name | ROCHESTER LIFESTYLE MEDICINE PLLC |
| Practice Address |
1441 East Ave Suite 108 Rochester NY 14610-1665 |
| Mailing Address |
Po Box 22844 Rochester NY 14692-2844 |
| Practice Telephone | 5854841254 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | DR. TED D BARNETT (MEMBER) |
| Authorized Official Telephone | 5855331368 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCHESTER LIFESTYLE MEDICINE PLLC | 2024 W Henrietta Rd Ste 5a, Rochester, NY 14623-1360 |
| New York State Corporations | ROCHESTER LIFESTYLE MEDICINE PLLC | 117 Lyons Road, Rush, Ny 14543 |
| Street Address |
1441 EAST AVE SUITE 108 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14610-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649224817 | Maria G Mastrosimone | Family Medicine | 1441 East Ave, Suite 107-2, Rochester, NY 14610-1665 | 2006-05-20 |
| 1538618475 | Amy Normann | Social Worker | 1441 East Ave, Rochester, NY 14610-1665 | 2016-10-03 |
| 1295945913 | Patti A Follansbee | Marriage & Family Therapist | 1441 East Ave, Rochester, NY 14610-1665 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511122 | Marisa Volinsky | Social Worker | 2300 East Ave, Rochester, NY 14610 | 2019-04-28 |
| 1023396124 | Elissa Sara Strassman | Dietitian, Registered | 1441 East Avenue Suite 7d, Rochester, NY 14610 | 2011-07-25 |
| 1750695169 | Tracy Lee Pattison | Licensed Practical Nurse | 989 Blossom Road, Rochester, NY 14610 | 2010-07-28 |
| 1881926558 | Joshua Benjamin Rittenberg | Chiropractor | 1641 East Avenue, Rochester, NY 14610 | 2010-02-05 |
| 1922233584 | Patricia Renee Tolbert | Licensed Practical Nurse | 257 North Winton Road, Rochester, NY 14610 | 2009-05-26 |
| 1851556716 | Ann Marie Geyer | Registered Nurse | 62 Balsam Street, Rochester, NY 14610 | 2008-07-21 |
| 1871751289 | Ann Deborah Livingston-gagni | Licensed Practical Nurse | 158 Nunda Blvd, Rochester, NY 14610 | 2008-06-02 |
| 1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
| 1588832638 | Paula Marie Moore | Registered Nurse | 381 Beresford Road, Rochester, NY 14610 | 2008-02-12 |
| 1902097314 | Rosamond Blakeslee | Registered Nurse | 107 San Gabriel Drive, Rochester, NY 14610 | 2007-08-09 |
| Find all providers in zip 14610 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215260260 | Elizabeth Dorothy Woodard | Preventive Medicine | 200 Ridge Rd W, Kodak Medical Department, Rochester, NY 14652-3402 | 2009-09-09 |
| 1336381532 | Erin Kathleen Campbell | Preventive Medicine | 85 Lantern Ln, Rochester, NY 14623-1325 | 2009-04-02 |
| 1114171352 | Fred Thomas Nobrega | Preventive Medicine | 1118 Skyline Dr Sw, Rochester, MN 55902-0950 | 2008-11-14 |
| 1336469709 | Marielena Velez De Brown | Preventive Medicine | 111 Westfall Rd, Rm 950, Rochester, NY 14620-4647 | 2010-06-08 |
| 1972778355 | Donald P. Mclaren | Preventive Medicine | 800 Carter St, Rochester, NY 14621-2604 | 2008-04-25 |
| 1356409676 | Linda L. Clark, M.d., M.s., P.C. | Preventive Medicine | 301 Exchange Blvd, Suite Ll-1, Rochester, NY 14608-2755 | 2006-12-06 |
| 1245205640 | Darryl S Chutka | Preventive Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-20 |
| 1326012196 | Martha P Millman | Preventive Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-16 |
| 1306810163 | Robin G Molella | Preventive Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-16 |
| 1821062738 | Kathryn Mary Asp | Preventive Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-15 |
| 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.