ANTHONY PETRAGLIA (NPI# 1043346398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043346398 |
| Entity Type | Individual |
| Full Name | ANTHONY PETRAGLIA |
| Credential | M.D. |
| Practice Address |
2655 Ridgeway Ave Suite 340 Rochester NY 14626-4296 |
| Practice Telephone | 5853686545 |
| Practice Fax Number | 5853686546 |
| Mailing Telephone | 5853686545 |
| Mailing Fax Number | 5853686546 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 259616 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03872837 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 190 Washington Ave, Batavia, NY 140202113 | 5853686545 | 5853686546 |
| 875 Pre Emption Rd, Geneva, NY 144562042 | 5853686545 | 5853686546 |
| Street Address |
2655 RIDGEWAY AVE SUITE 340 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944812 | Debra Roy Keller | Physician Assistant | 2655 Ridgeway Ave, Suite 180, Rochester, NY 14626-4296 | 2005-06-30 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1487290318 | Scott Gogstetter | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-26 |
| 1033755178 | Colleen Marie Mitrano | Physical Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-25 |
| 1396381018 | Diana L Hauman | Occupational Therapist | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2019-11-19 |
| 1144772328 | Olufolake Lukula | Nurse Practitioner | 2655 Ridgeway Ave, Suite 440, Rochester, NY 14626-4296 | 2016-11-03 |
| 1073970372 | Katharine R Wilson | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2016-01-19 |
| 1356706857 | Kelly A Lockwood | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-28 |
| 1225493893 | Susan Thomas | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
| 1245695816 | Donald Gravett | Physical Therapist | 2655 Ridgeway Ave, Suite 320, Rochester, NY 14626-4296 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844141 | Neurosurgery of Western Ny Pllc | Neurological Surgery | 1200 Jefferson Rd Ste 310, Rochester, NY 14623-3158 | 2019-05-01 |
| 1902122203 | Kristopher T Kimmell | Neurological Surgery | 2655 Ridgeway Ave Ste 340, Rochester, NY 14626-4296 | 2010-04-12 |
| 1205014537 | Constance Sue Kayser | Neurological Surgery | 7111 Minder Rd, Rochester, IL 62563-6122 | 2008-02-08 |
| 1528276557 | Hazem M Ahmed | Neurological Surgery | 1445 Portland Ave Ste 304, Rochester, NY 14621 | 2007-05-21 |
| 1780783746 | University of Rochester Neurosurgery Group | Neurological Surgery | 601 Elmwood Ave # 670, Rochester, NY 14642-0001 | 2006-09-22 |
| 1083625008 | Angel N. Boev | Neurological Surgery | 1445 Portland Ave Ste 309, Rochester, NY 14621-3008 | 2006-08-11 |
| 1609822485 | Thomas G Rodenhouse | Neurological Surgery | 2180 S Clinton Ave, Rochester, NY 14618-2665 | 2006-05-25 |
| 1275527566 | Christie Marie Mcmorrow | Neurological Surgery | 1200 Jefferson Rd, Suite 310, Rochester, NY 14623-3158 | 2005-09-01 |
| 1578172789 | Ryan Chase Ransom | Neurological Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-07-24 |
| 1699392894 | Mohammadreza Feizi Lighvan | Neurological Surgery | Strong Memorial Hospital 601 Elmwood Avenue, Rochester, NY 14642-0001 | 2020-07-03 |
| 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.