SOUTHEAST OBSTETRICS & GYNECOLOGY PC (NPI# 1184764524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184764524 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST OBSTETRICS & GYNECOLOGY PC |
| Practice Address |
990 South Ave Suite 104 Rochester NY 14620-2740 |
| Mailing Address |
990 South Ave Suite 104 Rochester NY 14620 |
| Practice Telephone | 5852563000 |
| Practice Fax Number | 5852563045 |
| Mailing Telephone | 5852563000 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | RAPHAEL T TSHIBANGU (PRESIDENT) |
| Authorized Official Telephone | 5852563000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
990 SOUTH AVE SUITE 104 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063489839 | Roger M Olander | Obstetrics & Gynecology | 990 South Ave, Suite 104a, Rochester, NY 14620 | 2006-03-01 |
| 1861836652 | Highland's Women's Health | Obstetrics & Gynecology | 990 South Ave, Suite 103, Rochester, NY 14620-2763 | 2013-04-23 |
| 1033408810 | Katina Marie Foster | Obstetrics & Gynecology | 990 South Ave, Suite 104, Rochester, NY 14620-2740 | 2011-04-01 |
| 1730405887 | Brittany Marie Paivanas | Obstetrics & Gynecology | 990 South Ave, Suite 103, Rochester, NY 14620-2763 | 2010-04-14 |
| 1386968006 | Daniel Blakely King | Internal Medicine | 990 South Ave, Suite 207, Rochester, NY 14620-2763 | 2010-03-24 |
| 1295993368 | Stephen L. Kates, Md, PC | Orthopaedic Surgery | 990 South Ave, Suite 010, Rochester, NY 14620-2763 | 2008-05-27 |
| 1194917336 | Marion E. Olander | Physician Assistant | 990 South Ave, Rochester, NY 14620-2763 | 2007-08-13 |
| 1164623849 | Roan Jamison Glocker | Surgery | 990 South Ave, Ste 210, Rochester, NY 14620-2763 | 2007-05-30 |
| 1336359777 | Amanda J Victory | Obstetrics & Gynecology | 990 South Ave, Suite 104, Rochester, NY 14620-2763 | 2007-05-23 |
| 1861568008 | Sylvia Farnand | Nurse Practitioner | 990 South Ave, Suite 104, Rochester, NY 14620 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255781795 | Zi-qi Liew | Obstetrics & Gynecology | 500 Red Creek Dr Ste 110, Rochester, NY 14623-4284 | 2016-06-15 |
| 1578906129 | Joseph R Panza | Obstetrics & Gynecology | 500 Red Creek Dr Ste 120, Rochester, NY 14623-4284 | 2013-04-14 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1922364017 | Snigdha Alur-gupta | Obstetrics & Gynecology | 500 Red Creek Dr Ste 220, Rochester, NY 14623-4285 | 2012-04-03 |
| 1790059889 | Roger M Olander Md PC | Obstetrics & Gynecology | 990 South Ave Ste 104a, Rochester, NY 14620-2740 | 2012-03-07 |
| 1285899237 | Mary C Tolcher | Obstetrics & Gynecology | 200 1st Stsw, Rochester, MN 55905-0001 | 2008-07-18 |
| 1801093505 | Rehan Bin Asif | Obstetrics & Gynecology | 1415 Portland Ave Ste 490, Rochester, NY 14621-3022 | 2007-06-27 |
| 1497961767 | Neil S Seligman | Obstetrics & Gynecology | 500 Red Creek Dr., Suite 210, Rochester, NY 14623 | 2007-05-15 |
| 1649351289 | Mohsen Raymond Naassana | Obstetrics & Gynecology | 484 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-10-18 |
| 1508954660 | Theodore Louis Roumell | Obstetrics & Gynecology | 1050 W University, Rochester, MI 48307 | 2006-10-11 |
| 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.