DR. JUSTIN MICHAEL DEXTER (NPI# 1336309723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336309723 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MICHAEL DEXTER |
| Credential | MD |
| Practice Address |
5100 W Taft Rd Suite 4m Liverpool NY 13088-3807 |
| Practice Telephone | 3153623937 |
| Practice Fax Number | 3154587818 |
| Mailing Telephone | 3153623937 |
| Mailing Fax Number | 3154587818 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2013-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 260483 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5100 W TAFT RD SUITE 4M |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015500 | Jody S Bleier | Internal Medicine | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-06-30 |
| 1528620812 | Colleen Byrnes | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2019-07-08 |
| 1851866727 | Kathryn Quinn Manion | Clinic/Center | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-10-08 |
| 1225514623 | Shannon M Roach | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-07-18 |
| 1497263826 | Kimberly Cleary | Registered Nurse | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-01-19 |
| 1184077885 | Maia Czarnecki | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-07-18 |
| 1174974216 | Jenna Marie Laskey | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2016-06-30 |
| 1669838108 | Phitsamai Thatvihane | Nurse Practitioner | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-01-14 |
| 1992160188 | Melissa Buttner | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-12-15 |
| 1538532940 | Chelsey Brooks | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033274279 | Leslie D. Woodcock Jr. | Ophthalmology | 5100 W Taft Rd Ste 3l, Liverpool, NY 13088-3809 | 2006-12-27 |
| 1740388602 | Marc J Safran | Ophthalmology | 8340 Oswego Rd, Liverpool, NY 13090-1026 | 2006-09-21 |
| 1164752317 | Marc Safran, Md Pllc | Ophthalmology | 8340 Oswego Rd, Liverpool, NY 13090-1026 | 2010-01-12 |
| 1255560157 | Kevin I Rosenberg | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2009-07-13 |
| 1073710737 | Rajeev K. Seth | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2007-06-27 |
| 1346455508 | Leslie D. Woodcock, Jr., M.d., Pllc | Ophthalmology | 5100 W Taft Rd, Suite 3l, Liverpool, NY 13088-3807 | 2007-05-11 |
| 1386709434 | Central New York Eye Center | Ophthalmology | 5100 W Taft Rd Ste 3l, Liverpool, NY 13088-3809 | 2006-12-27 |
| 1639254196 | Lawrence C Stewart | Ophthalmology | 5100 W Taft Rd, Suite 4m, Liverpool, NY 13088-3807 | 2006-10-25 |
| 1235242124 | Jamin S. Brown | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2006-08-16 |
| 1053307272 | Bryan Kyle Rutledge | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2005-09-22 |
| Find all providers in LIVERPOOL | ||||
Please comment or provide details below to improve the information on DR. JUSTIN MICHAEL DEXTER.
| 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.