MR. GERALD SCOTT KINGSLEY (NPI# 1184630766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184630766 |
| Entity Type | Individual |
| Full Name | MR. GERALD SCOTT KINGSLEY |
| Credential | RPAC |
| Practice Address |
1299 Portland Ave Suite 16 Rochester NY 14621 |
| Practice Telephone | 5852663300 |
| Practice Fax Number | 5852662163 |
| Mailing Telephone | 5852663300 |
| Mailing Fax Number | 5852662163 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0058001 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5289364 | 01 | |
| BCBS | P019005800 | 01 | |
| PRECARE | 108925CU | 01 |
| Street Address |
1299 PORTLAND AVE SUITE 16 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043281843 | Faisal Shamsie | Internal Medicine | 1299 Portland Ave, Ste 17, Rochester, NY 14621 | 2006-01-30 |
| 1346781168 | Janet Young | Registered Nurse | 1299 Portland Ave, Rochester, NY 14621-2730 | 2017-03-13 |
| 1275085920 | Alison Gerew | Physical Therapist | 1299 Portland Ave, Rochester, NY 14621-2730 | 2016-10-28 |
| 1811373376 | Thomas Robert Wager II | Physical Therapist | 1299 Portland Ave, Ste 10, Rochester, NY 14621-2730 | 2015-08-07 |
| 1083027296 | Rochester Medical Weight Loss, P.c | Legal Medicine | 1299 Portland Ave, Suite 7, Rochester, NY 14621-2730 | 2014-06-05 |
| 1639502149 | Paige Baritot Finnerty | Physical Therapist | 1299 Portland Ave, Ste 10, Rochester, NY 14621-2730 | 2013-08-20 |
| 1952734766 | Joshua P Fallon | Physical Therapist | 1299 Portland Ave, Ste 10, Rochester, NY 14621-2730 | 2013-08-15 |
| 1366762460 | Christyann Lynch | Nurse Practitioner | 1299 Portland Ave, Suite 3, Rochester, NY 14621-2730 | 2010-06-11 |
| 1952633182 | Ngh Physical Therapy Associates, PC | Physical Therapist | 1299 Portland Ave, Ste 10, Rochester, NY 14621-2730 | 2010-02-15 |
| 1134371420 | Lindsey Marie Schneider Yu | Physical Therapist | 1299 Portland Ave, Rochester, NY 14621-2730 | 2008-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 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.