BOHDAN KLYMOCHKO (NPI# 1346628930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346628930 |
| Entity Type | Individual |
| Full Name | BOHDAN KLYMOCHKO |
| Credential | D.O. |
| Practice Address |
1300 Jefferson Rd Ste 100 Rochester NY 14623 |
| Mailing Address |
601 Elmwood Ave Box 655-a Rochester NY 14642-8655 |
| Practice Telephone | 5854131800 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 286684 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1300 JEFFERSON RD STE 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623 |
| 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 |
| 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 |
| 1609286103 | Rosemary Awuor | Nursing Home Administrator | 325 W Squire Dr, Apt 5, Rochester, NY 14623 | 2014-05-06 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1982132635 | Stephanie Parvan | Family Medicine | 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 | 2017-05-25 |
| 1659804169 | Natasha Vadera | Family Medicine | Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 | 2017-04-11 |
| 1467804203 | Izabela Teresa Subczynska | Family Medicine | 454 E Broad St Ste 100, Rochester, NY 14607-1724 | 2016-07-05 |
| 1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1851705628 | Resika Ubayawardena | Family Medicine | 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 | 2014-06-19 |
| 1942613344 | Lishan Jhanealle Walker | Family Medicine | 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 | 2014-06-04 |
| 1518386226 | Angela Kristan | Family Medicine | 919 Westfall Rd Ste 210, Rochester, NY 14618-2638 | 2014-04-09 |
| 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.