MICHELLE KATHERINE HICZUN (NPI# 1043820251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043820251 |
| Entity Type | Individual |
| Full Name | MICHELLE KATHERINE HICZUN |
| Practice Address |
20 Hagen Dr Ste 330 Rochester NY 14625-2664 |
| Mailing Address |
109 Armstrong Ave Rochester NY 14617-4603 |
| Practice Telephone | 5852674040 |
| Mailing Telephone | 7169578537 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346255 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 HAGEN DR STE 330 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1073111738 | Melissa E Spencer | Nurse Practitioner | 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 | 2020-10-15 |
| 1295345254 | Kristin Colleen Fleming | Nurse Practitioner | 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 | 2020-08-05 |
| 1689296949 | Suzanne Lee Bundrick | Nurse Practitioner | 1921 Westwood Ct Sw, Rochester, MN 55902-1170 | 2020-05-09 |
| 1649818931 | Erin Elizabeth Akins | Nurse Practitioner | 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 | 2019-12-17 |
| 1912544107 | Bethany Anderson Ganz | Nurse Practitioner | 115 16th Ave Nw, Rochester, MN 55901-0347 | 2019-12-06 |
| 1164068383 | Christina Kosachook | Nurse Practitioner | 990 South Ave Ste 104, Rochester, NY 14620-2740 | 2019-11-22 |
| 1073159679 | Avellina Ihuaku Okafor | Nurse Practitioner | 1328 Ridgeway Ave, Rochester, NY 14615-3716 | 2019-11-19 |
| 1053961409 | Melissa Guu-shyuan Feng | Nurse Practitioner | 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 | 2019-09-18 |
| 1578113262 | Betsy Patricia Burns | Nurse Practitioner | 919 Westfall Rd Unit C, Rochester, NY 14618-2638 | 2019-09-16 |
| 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.