DR. KATIE GOONAN SUSSMAN (NPI# 1316142672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316142672 |
| Entity Type | Individual |
| Full Name | DR. KATIE GOONAN SUSSMAN |
| Credential | M.D. |
| Practice Address |
222 Alexander St Suite 4100 Rochester NY 14607-4005 |
| Practice Telephone | 5859228230 |
| Practice Fax Number | 5859228260 |
| Mailing Telephone | 5859228230 |
| Mailing Fax Number | 5859228260 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 269979 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 036992600 | 05 |
| Street Address |
222 ALEXANDER ST SUITE 4100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14607-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064680 | Paul C Burns | Internal Medicine | 222 Alexander St, Ste 3000, Rochester, NY 14607-4047 | 2005-06-23 |
| 1003467390 | Chad Mcdonald | Social Worker | 222 Alexander St, Rochester, NY 14607-4039 | 2019-09-27 |
| 1730679622 | Allison Sarah Howard | Social Worker | 222 Alexander St, Rochester, NY 14607-4039 | 2018-05-16 |
| 1376045344 | Alexander Pharmacy LLC | Pharmacy | 222 Alexander St, Ste 2700, Rochester, NY 14607-4039 | 2018-03-06 |
| 1376085316 | Jennifer Lynch | Social Worker | 222 Alexander St, Suite 5000, Rochester, NY 14607-4039 | 2016-11-08 |
| 1205214699 | Nidun Daniel | Family Medicine | 222 Alexander St, Rochester, NY 14607 | 2015-05-18 |
| 1154716041 | Matthew Stevens | Pediatrics | 222 Alexander St, Rochester, NY 14607 | 2015-03-30 |
| 1104221506 | Kristen Carnahan | Nurse Practitioner | 222 Alexander St, 4th Floor, Rochester, NY 14607-4039 | 2014-10-28 |
| 1639587090 | Michelle Laraby | Registered Nurse | 222 Alexander St, 5000, Rochester, NY 14607-4039 | 2014-07-30 |
| 1477961878 | Melissa Diaz | Registered Nurse | 222 Alexander St, Suite 5000, Rochester, NY 14607-4039 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
| 1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
| 1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
| Find all providers in zip 14607 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244212 | Syed Siraj Masood, Md, PC | Pediatrics | 1295 Portland Ave Ste 17, Rochester, NY 14621-2726 | 2018-08-13 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1427565613 | Legacy Pediatrics LLC | Pediatrics | 1815 Clinton Ave S Ste 360, Rochester, NY 14618-5725 | 2018-01-09 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1558780809 | Christina Wu | Pediatrics | 1425 Portland Ave # 228, Rochester, NY 14621-3001 | 2014-04-15 |
| 1356785059 | Adria Lara Roberti Miller | Pediatrics | 1815 S Clinton Ave Ste 310, Rochester, NY 14618 | 2013-04-24 |
| 1295001543 | Karla Suter | Pediatrics | 1800 English Rd., Rochester, NY 14616-0001 | 2012-03-30 |
| 1780950139 | Rachel Diamond | Pediatrics | 1425 Portland Ave Ste 300, Rochester, NY 14621-3001 | 2012-03-30 |
| 1861791485 | Regina Kay Rowe | Pediatrics | Pediatric Infectious Diseases 601 Elmwood Avenue, Rochester, NY 14642 | 2011-03-22 |
| 1164727475 | Irondequoit Pediatrics, Pllc | Pediatrics | 809 East Ridge Road, Rochester, NY 14621-1710 | 2011-01-18 |
| 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.