NANETTE D PHILLIS, MD, PLLC (NPI# 1225004476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225004476 |
| Entity Type | Individual |
| Full Name | NANETTE D PHILLIS, MD, PLLC |
| Credential | MD |
| Practice Address |
1815 S Clinton Ave Suite 340 Rochester NY 14618-5720 |
| Practice Telephone | 5854619500 |
| Practice Fax Number | 5852711432 |
| Mailing Telephone | 5854619500 |
| Mailing Fax Number | 5852711432 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 195745 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 101517BJ | 01 |
| NY | UNIVERA | P020195745 | 01 |
| NY | BCBS OF ROCHESTER | P020195745 | 01 |
| NY | AETNA | 5269451 | 01 |
| GA | UNITED HEALTH CARE | 412186999 | 01 |
| NY | RAIL ROAD MEDICARE | DE2348 | 01 |
| NY | 01563840 | 05 | |
| NY | EMPIRE PLAN | 412186999 | 01 |
| NY | RMSCO | P010195745 | 01 |
| Street Address |
1815 S CLINTON AVE SUITE 340 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952684748 | Valerie Lynn Pachuta | Nurse Practitioner | 1815 S Clinton Ave, Suite 530, Rochester, NY 14618-5720 | 2011-09-28 |
| 1306094198 | Timothy Patrick Smith | Physician Assistant | 1815 S Clinton Ave, Suite 530, Rochester, NY 14618-5720 | 2008-09-04 |
| 1477720415 | Stephen E Presser | Dermatology | 1815 S Clinton Ave, Suite 530, Rochester, NY 14618-5720 | 2008-05-09 |
| 1104003235 | Edith Grannum Md PC | Family Medicine | 1815 S Clinton Ave, Rochester, NY 14618-5720 | 2008-01-31 |
| 1396961231 | James J Infantino | Dentist | 1815 S Clinton Ave, Rochester, NY 14618 | 2007-04-18 |
| 1144302027 | Stephen E Presser | Dermatology | 1815 S Clinton Ave, #530, Rochester, NY 14618-5720 | 2006-10-19 |
| 1790876886 | Janet R Casey | Pediatrics | 1815 S Clinton Ave, Ste 360, Rochester, NY 14618 | 2006-09-27 |
| 1427150655 | Joseph Lawrence Dulski | Dentist | 1815 S Clinton Ave, Ste 345, Rochester, NY 14618 | 2006-09-01 |
| 1528004223 | Timothy Lawrence | Psychiatry & Neurology | 1815 S Clinton Ave, Suite 445, Rochester, NY 14618-5720 | 2006-06-21 |
| 1740244649 | Mary Jo Spallina | Obstetrics & Gynecology | 1815 S Clinton Ave, Suite 610, Rochester, NY 14618-5720 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326694225 | Henry John James Ess Iv Do Pllc | Internal Medicine | 309 Exchange Blvd Ste A, Rochester, NY 14608-2708 | 2019-08-15 |
| 1588180087 | Shelby Jo Lee | Internal Medicine | 2561 Lac De Ville Blvd Ste 100, Rochester, NY 14618-5645 | 2017-08-16 |
| 1598294704 | Ayad Sadda | Internal Medicine | 1425 Portland Ave Ste 287, Rochester, NY 14621-3011 | 2017-06-09 |
| 1184150567 | Kayla Leonard Correia-staudt | Internal Medicine | 959 Panorama Trl S Ste 100, Rochester, NY 14625-2311 | 2017-05-04 |
| 1912438342 | William J. Brorein, Jr., M.d., Ph.d. | Internal Medicine | 2237 Clinton Ave S, Rochester, NY 14618-2623 | 2017-03-27 |
| 1871944520 | Kayleigh Punch | Internal Medicine | 2655 Ridgeway Ave Ste 480, Rochester, NY 14626-4296 | 2016-06-23 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1699161018 | Gregory Rosic | Internal Medicine | 6 Healthcare Dr Ste 2, Rochester, NH 03867-4499 | 2015-04-13 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 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.