MR. MATHEW DAVID KILGORE (NPI# 1265716591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265716591 |
| Entity Type | Individual |
| Full Name | MR. MATHEW DAVID KILGORE |
| Credential | LCSW |
| Practice Address |
33 Sugarmills Cir Fairport NY 14450-8761 |
| Practice Telephone | 5856940075 |
| Mailing Telephone | 5856940075 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
R-0441631 | NY | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
R-0441631 | NY | Behavioral Health & Social Service Providers |
| Street Address |
33 SUGARMILLS CIR |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548426273 | Helen Rice William | Social Worker | 149 N Main St, Fairport, NY 14450-1434 | 2008-08-01 |
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| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.