DR. GAIL SUE-ANN ROSE-GREEN (NPI# 1073704151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073704151 |
| Entity Type | Individual |
| Full Name | DR. GAIL SUE-ANN ROSE-GREEN |
| Credential | M.D. |
| Practice Address |
18969 Us Route 11 Pediatric Associates of Watertown Watertown NY 13601 |
| Mailing Address |
256 Michigan Ave Apt 407 C Watertown NY 13601-3139 |
| Practice Telephone | 3157824391 |
| Mailing Telephone | 2768860545 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 268459 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03323842 | 05 |
| Street Address |
18969 US ROUTE 11 PEDIATRIC ASSOCIATES OF WATERTOWN |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811947393 | Mario Francisco Victoria | Pediatrics | 18969 Us Route 11, 5699 Outer Washington Street, Watertown, NY 13601-5320 | 2006-05-12 |
| 1013319136 | Jamie Miller | Physician Assistant | 18969 Us Route 11, Watertown, NY 13601-6329 | 2014-09-19 |
| 1437437043 | Stephanie Ann Oliva | Pediatrics | 18969 Us Route 11, Pediatric Associates of Watertown, Watertown, NY 13601-6329 | 2011-07-31 |
| 1811229834 | Bradd J Beimford | Pharmacist | 18969 Us Route 11, Watertown, NY 13601-6329 | 2010-02-01 |
| 1346572369 | Krista Krull-goss | Pharmacist | 18969 Us Route 11, Watertown, NY 13601-6329 | 2010-02-01 |
| 1124172713 | Timothy Paul Cook | Psychologist | 18969 Us Route 11, Watertown, NY 13601-5320 | 2007-01-22 |
| 1497855670 | Pediatric Associates of Watertown P.C. | Pediatrics | 18969 Us Route 11, Watertown, NY 13601-5320 | 2006-09-25 |
| 1841241148 | Alexandra Davies | Physician Assistant | 18969 Us Route 11, Watertown, NY 13601-5320 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689715658 | Teresa M. Kohlenberg | Pediatrics | 93 Garfield St, Watertown, MA 02472-4914 | 2007-02-10 |
| 1861589384 | Child and Adolescent Health Associates | Pediatrics | 513 Washington Street, Watertown, NY 13601-4001 | 2006-10-06 |
| 1265474894 | Brigido C Calado | Pediatrics | 1532 Utah St, Watertown, WI 53094-6410 | 2006-06-11 |
| 1477593069 | Robert Dennis Bacsik | Pediatrics | 435 Harris Dr, Watertown, NY 13601-4205 | 2006-06-08 |
| 1811947393 | Mario Francisco Victoria | Pediatrics | 18969 Us Route 11, 5699 Outer Washington Street, Watertown, NY 13601-5320 | 2006-05-12 |
| 1396702882 | Craig E. Crismon | Pediatrics | 511 14th Ave Ne, Watertown, SD 57201-6811 | 2006-04-27 |
| 1457326803 | Aida M. Yavshayan | Pediatrics | 375 Mount Auburn St, Watertown, MA 02472 | 2006-02-21 |
| 1225034119 | Karie Ann Mantey | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-06-24 |
| 1285241307 | Ahmad Chatila | Pediatrics | 20011 Summit View Blvd, Watertown, NY 13601-1996 | 2020-09-24 |
| 1437437043 | Stephanie Ann Oliva | Pediatrics | 18969 Us Route 11, Pediatric Associates of Watertown, Watertown, NY 13601-6329 | 2011-07-31 |
| Find all providers in WATERTOWN | ||||
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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.