MRS. BETH PAULL (NPI# 1316965130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965130 |
| Entity Type | Individual |
| Full Name | MRS. BETH PAULL |
| Credential | RPA-C |
| Practice Address |
125 Red Creek Dr 205 Rochester NY 14623-4272 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5853210110 |
| Mailing Telephone | 5859221469 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010008 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 RED CREEK DR 205 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620262 | Monroe Physical Therapy, LLP | Physical Therapist | 125 Red Creek Dr, Ste 210, Rochester, NY 14623-4262 | 2005-06-23 |
| 1215574892 | Melissa Alexandria Clark | Occupational Therapist | 125 Red Creek Dr, Rochester, NY 14623-4272 | 2019-12-03 |
| 1003473067 | Ashley Lynn Hendershot | Nurse Practitioner | 125 Red Creek Dr, Rochester, NY 14623-4272 | 2019-05-24 |
| 1568868388 | Western New York Medical Practice, PC | Orthopaedic Surgery | 125 Red Creek Dr, Rochester, NY 14623-4272 | 2014-11-05 |
| 1871893024 | Edna Elizabeth O'neill | Physical Therapist | 125 Red Creek Dr, Suite 210, Rochester, NY 14623-4272 | 2010-10-21 |
| 1609924828 | Calkins Medical Group LLP | Internal Medicine | 125 Red Creek Dr, Suite 201, Rochester, NY 14623-4272 | 2007-01-05 |
| 1609933878 | Haris Aziz | Internal Medicine | 125 Red Creek Dr, Suite 201, Rochester, NY 14623-4272 | 2007-01-03 |
| 1417033796 | Md Oncology, Pllc | Radiology | 125 Red Creek Dr, Rochester, NY 14623-4272 | 2006-10-28 |
| 1548355316 | Katherine Patricia Hettrich | Physical Therapist | 125 Red Creek Dr, Suite 210, Rochester, NY 14623-4272 | 2006-10-04 |
| 1649362344 | Farideh T Aziz | Pediatrics | 125 Red Creek Dr, Rochester, NY 14623-4272 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518411107 | Michelle Ann Swider | Physician Assistant | 1425 Portland Ave Ste 220, Rochester, NY 14621-3011 | 2016-08-11 |
| 1124423355 | Amanda Schnorf | Physician Assistant | 2824 W Ridge Rd, Rochester, NY 14626-1639 | 2014-10-30 |
| 1679989479 | Jacob William Raifstanger | Physician Assistant | 2655 Ridgeway Ave Ste 460, Rochester, NY 14626-4296 | 2014-07-01 |
| 1225385305 | Katie Elizabeth Kenny | Physician Assistant | 1555 Long Pond Rd Fl 1, Rochester, NY 14626-4122 | 2012-08-08 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1033322797 | Joan Marie Wobig | Physician Assistant | 5426 15th St Se, Rochester, MN 55904-6719 | 2007-05-08 |
| 1871705749 | Beverley Myers | Physician Assistant | 4730 17th St Se, Rochester, MN 55904-6680 | 2007-05-04 |
| 1831310739 | Brenda Gerdts | Physician Assistant | 4838 Scenic View Dr Sw, Rochester, MN 55902-1527 | 2007-05-01 |
| 1558419739 | Kathryn Ann Ciurca | Physician Assistant | 868 Clover St, Rochester, NY 14610-3232 | 2007-01-06 |
| 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.