MATTHEW BONNER MCLAIN (NPI# 1063846525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063846525 |
| Entity Type | Individual |
| Full Name | MATTHEW BONNER MCLAIN |
| Credential | ACNP-BC |
| Practice Address |
1160 Chili Ave Ste 200 Rochester NY 14624-3035 |
| Practice Telephone | 5855004814 |
| Practice Fax Number | 8558075397 |
| Mailing Telephone | 5855004814 |
| Mailing Fax Number | 8558075397 |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
431441 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-106178 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 3rd Ave S, Tht 422, Birmingham, AL 352940006 | 2059343411 |
| Street Address |
1160 CHILI AVE STE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922052927 | Steven Allan Leveston | Internal Medicine | 1160 Chili Ave Ste 200, Rochester, NY 14624-3035 | 2006-05-22 |
| 1730542713 | Feng Zhang | Nurse Practitioner | 1160 Chili Ave Ste 200, Rochester, NY 14624-3035 | 2016-03-29 |
| 1730445040 | Jie He | Hospitalist | 1160 Chili Ave Ste 200, Rochester, NY 14624-3035 | 2012-04-11 |
| 1891925319 | Samuel Charles Cappiello | Nurse Practitioner | 1160 Chili Ave Ste 200, Rochester, NY 14624-3035 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820954 | Jacqueline Michalko | Nurse Practitioner | 601 Elmwood Ave # 619-736, Rochester, NY 14642-0001 | 2019-06-18 |
| 1306331459 | Lindsay Ann Watkins | Nurse Practitioner | 601 Elmwood Ave Unit 716, Rochester, NY 14642-0002 | 2018-06-29 |
| 1588064083 | Brittany A Swift | Nurse Practitioner | 32 Keswick Rd, Rochester, NY 14609-3309 | 2014-09-03 |
| 1891091575 | Rebecca Tucker | Nurse Practitioner | 610 Elmwood Ave, Rochester, NY 14642 | 2011-01-28 |
| 1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
| 1700970225 | Joanne Vandevalk Clements | Nurse Practitioner | 601 Elmwood Ave, Box 604, Preadmission Evaluation Center, Rochester, NY 14642 | 2006-10-02 |
| 1891803177 | Kristine Elisabeth Miller | Nurse Practitioner | 1600 Chili Ave, Ste 200, Rochester, NY 14624 | 2006-08-28 |
| 1619083292 | Darby Leyden | Nurse Practitioner | 601 Elmwood Ave # 619-10, Rochester, NY 14642-0001 | 2006-08-23 |
| 1184676322 | Theresa M Domagola | Nurse Practitioner | 101 Canal Landing Blvd, Suite 8, Rochester, NY 14626-5109 | 2006-05-16 |
| 1861497182 | Krista L. Prinzi | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2005-06-14 |
| 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.