DR. KELLY ELEANOR MOULTON GULLOTTA


Address: 601 Elmwood Ave, Rochester, NY 14642-0001
Phone: 5852733919

DR. KELLY ELEANOR MOULTON GULLOTTA (NPI# 1053584086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053584086
Entity Type Individual
Full Name DR. KELLY ELEANOR MOULTON GULLOTTA
Other Name KELLY ELEANOR MOULTON
Credential M.D.
Practice Address 601 Elmwood Ave
Rochester
NY 14642-0001
Mailing Address 601 Elmwood Ave
Box 635
Rochester
NY 14642-0001
Practice Telephone 5852733919
Practice Fax Number 5854613614
Mailing Telephone 5852733919
Mailing Fax Number 5854613614
Enumeration Date 2008-04-10
Last Update Date 2017-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
55918 CT Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
246762 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 601 ELMWOOD AVE
City ROCHESTER
State NY
Zip Code 14642-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324317 Marc Norman Berliant Internal Medicine 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 2005-05-23
1386245165 Stephanie Pilat Pharmacist 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-06
1396346276 Noah Ritzel Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-05
1811598790 Natalie Tanke Registered Nurse 601 Elmwood Ave, Rochester, NY 14642-0001 2020-11-05
1891394490 Muhamed Ahmic Nurse Anesthetist, Certified Registered 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-23
1619576543 Patricia Marie Reiber Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-21
1528667557 Alexandra Jessie Strutt Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-21
1750989323 Sarah Jones Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-15
1679171334 Audrey Linn Schroeder Genetic Counselor, MS 601 Elmwood Ave, Rochester, NY 14642-0001 2020-10-15
1013515568 Carla Katherine Muranyi Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2020-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679192363 Nicholas Campbell Love Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 2020-04-13
1750900650 Phillip Braun Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 2020-04-10
1437786993 Andrew Jeong Student in an Organized Health Care Education/Training Program Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 2020-03-25
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1326539909 Saumya Goel Aujla Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 664, Rochester, NY 14642 2018-05-19
1922505387 Daniel Bral Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 655, Rochester, NY 14642 2018-04-11
1194222513 Jonah Meyerhoff Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 2018-04-11
1144738949 Francis Michael Manzo Registered Nurse University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 2018-01-15
1225552649 George Norman Abraham Internal Medicine 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 2017-07-27
1861928301 Sonia Thakur Student in an Organized Health Care Education/Training Program 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 2017-05-03
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1639697329 Lily Michelle Barres Pediatrics 601 Elmwood Ave Box 651, Rochester, NY 14642-0001 2017-09-01
1407000797 Fredric Kleinberg Pediatrics 913 9th Ave Sw, Rochester, MN 55902-6363 2008-11-12
1497163653 Raymond Stetson Pediatrics 200 1st St Sw, Rochester, MN 55905-0001 2014-07-31
1598105157 Koshy Marucoickal George Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 2013-06-27
1477826162 Christina Anna Sollinger Pediatrics 601 Elmwood Ave, Box 651, Rochester, NY 14642-0001 2012-02-12
1003016155 Rita Dadiz Pediatrics 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 2007-07-18
1619002458 Jane Ellen Brumbaugh Pediatrics 200 1st St Sw, Marian Hall Main 515, Rochester, MN 55905-0001 2007-02-22
1083758346 Julie Elizabeth Riccio Pediatrics 601 Elmwood Ave, Box 651, Rochester, NY 14642-0001 2007-02-19
1457465361 Taha Ben Saad Pediatrics 601 Elmwood Ave, Box 651, Rochester, NY 14642-0001 2006-08-18
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14642

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Dataset Information

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.

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