THADDEUS JEFFREY DMOCHOWSKI (NPI# 1033179445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033179445 |
| Entity Type | Individual |
| Full Name | THADDEUS JEFFREY DMOCHOWSKI |
| Credential | M.D. |
| Practice Address |
1736 Ridge Rd E Rochester NY 14622-2157 |
| Mailing Address |
125 Lattimore Rd Suite 270 Rochester NY 14620-4159 |
| Practice Telephone | 5852668401 |
| Practice Fax Number | 5852552029 |
| Mailing Telephone | 5854422075 |
| Mailing Fax Number | 5852444298 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | 123719 | NY | Allopathic & Osteopathic Physicians |
| X | 208C00000X | Colon & Rectal Surgery | 123719 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 4471447 | 01 |
| NY | PREFERRED CARE | MD4891 | 01 |
| NY | 00609036 | 05 |
| Street Address |
1736 RIDGE RD E |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836550 | Barbara A Macey | Nurse Practitioner | 1736 Ridge Rd E, Rochester, NY 14622-2157 | 2006-03-24 |
| 1659332013 | Michael J Graney | Surgery | 1736 Ridge Rd E, Rochester, NY 14622-2157 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1134567944 | Brent Paul Miller | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2013-06-13 |
| 1235428855 | Mohamed Fadhl Algahim | Surgery | 601 Elmwood Ave Box Surg/cardiac, Rochester, NY 14642-3548 | 2011-04-04 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1427225317 | Bala Gangadhara Reddy Thatigotla | Surgery | 1415 Portland Ave Ste 225, Rochester, NY 14621-3039 | 2008-05-11 |
| 1184824294 | Alok D Gandhi | Surgery | 1415portland Ave, Suite 225, Rochester, NY 14621-3001 | 2007-07-18 |
| 1790896330 | Mehdi Shemirani | Surgery | 1360 Portland Avenue, Suite 202, Rochester, NY 14621-3002 | 2006-08-31 |
| 1386662591 | Vincent Chang | Surgery | 1299 Portland Ave Ste 3, Rochester, NY 14621-2727 | 2006-07-17 |
| 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.