GENESEE VALLEY GROUP HEALTH ASSOCIATION (NPI# 1205046638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205046638 |
| Entity Type | Organization |
| Organization Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION |
| Other Organization Name | LIFETIME HEALTH MEDICAL GROUP |
| Practice Address |
800 Carter St Rochester NY 14621-2604 |
| Practice Telephone | 5853381400 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH CARLASCIO (VICE PRESIDENT REGIONAL OPERATIONS) |
| Authorized Official Telephone | 5853381400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD GROUP # | CA6026 | 01 |
| Other Name | Type Code |
|---|---|
| Lifetime Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596019 | Genesee Valley Group Health Association | Pharmacy | 535 Summit Point Dr, Suite #3, Henrietta, NY 14467-9606 | 2006-12-19 |
| 1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
| 1073936662 | Genesee Valley Group Health Association | Eyewear Supplier (Equipment, not the service) | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2014-02-03 |
| 1295170660 | Genesee Valley Group Health Association | Clinic/Center | 800 Carter St, Rochester, NY 14621-2604 | 2013-04-30 |
| 1891906962 | Genesee Valley Group Health Association | General Practice | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-05-24 |
| 1174649925 | Genesee Valley Group Health Association | Psychologist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
| 1144346875 | Genesee Valley Group Health Association | Nutritionist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
| 1316063928 | Genesee Valley Group Health Association | Physical Therapist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
| 1114043742 | Genesee Valley Group Health Association | Clinic/Center | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
| 1437275922 | Genesee Valley Group Health Association | Pharmacy | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
| Street Address |
800 CARTER ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609835677 | Boris M Shmigel | Specialist | 800 Carter St, Rochester, NY 14621-2604 | 2006-03-20 |
| 1407461221 | Danielle Marie Lazzaro | Nurse Practitioner | 800 Carter St, Rochester, NY 14621-2604 | 2020-09-09 |
| 1124688908 | Tayler R Kinney | Nurse Practitioner | 800 Carter St, Rochester, NY 14621-2604 | 2019-06-14 |
| 1720563000 | Kelsey Haag | Physician Assistant | 800 Carter St, Rochester, NY 14621 | 2018-10-02 |
| 1013490564 | Earon Lehning | Social Worker | 800 Carter St, Rochester, NY 14621-2604 | 2018-09-11 |
| 1881115582 | Katerina A Reisdorf | Pharmacist | 800 Carter St, Rochester, NY 14621-2604 | 2017-07-03 |
| 1336688993 | Bess M Griffin | Registered Nurse | 800 Carter St, Rochester, NY 14621-2604 | 2017-02-15 |
| 1144774092 | Trang Thuy Nguyen | Pharmacist | 800 Carter St, Rochester, NY 14621-2604 | 2016-08-09 |
| 1467831230 | Ryan Caster | Nurse Practitioner | 800 Carter St, Urgent Care, Rochester, NY 14621-2604 | 2015-05-26 |
| 1306230735 | Suzanne Bronson | Pharmacist | 800 Carter St, Rochester, NY 14621-2604 | 2015-03-24 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1912422122 | Jan Andre Grauman Neander | General Practice | 57 Westmoreland Dr, Rochester, NY 14620-4533 | 2017-08-08 |
| 1639415284 | Wayne Lee Knochel | General Practice | 2004a Wolfs Point Dr, Rochester, IN 46975-7698 | 2012-12-28 |
| 1831469717 | Miroslav Kollar | General Practice | 1692 Maple Creek Court, Rochester, MI 48306-4812 | 2012-01-09 |
| 1316183247 | Ryan Paul Arnold | General Practice | 110 E Gunn Rd, Rochester, MI 48306-1801 | 2008-12-23 |
| 1285859306 | Sarah D Atkinson | General Practice | 885 Winton Rd S, Finger Lakes Clinical Research, Rochester, NY 14618-1609 | 2007-04-16 |
| 1548335722 | Gopiram M Pansari | General Practice | 519 Beahan Rd, Rochester, NY 14624-3403 | 2006-11-22 |
| 1598727992 | Cary S Feldman | General Practice | 811 Oakwood Dr, Suite 202, Rochester, MI 48307-1360 | 2006-04-03 |
| 1447757091 | Nancy Elizabeth Jordan | General Practice | 2110 E Center St, Rochester, MN 55904-4754 | 2018-04-10 |
| 1184166779 | Tamara Wilson Cisnero | General Practice | 82 Holland St, Rochester, NY 14605-2131 | 2016-11-14 |
| 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.