KELSEY A MIRABAL (NPI# 1346657962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346657962 |
| Entity Type | Individual |
| Full Name | KELSEY A MIRABAL |
| Other Name | KELSEY A TALLEY |
| Credential | PA |
| Practice Address |
2701 Culver Rd Rochester NY 14622-2876 |
| Mailing Address |
7 Seneca St Hornell NY 14843-1312 |
| Practice Telephone | 5852664000 |
| Practice Fax Number | 5852664004 |
| Mailing Telephone | 6073245626 |
| Mailing Fax Number | 6073241374 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017693 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2701 CULVER RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426851 | Rochester Urgent Care, Pllc | Emergency Medicine | 2701 Culver Rd, Rochester, NY 14622-2817 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1336755065 | Katherine Zazulak | Physician Assistant | Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-09-18 |
| 1609489632 | Michelle Sierant | Physician Assistant | 4847 Carrington Dr, Rochester, MI 48306-1496 | 2020-08-28 |
| 1558971812 | Kelly Ann Probst | Physician Assistant | 136 Seminole Way, Rochester, NY 14618-1348 | 2020-08-03 |
| 1750999645 | Paulina Maria Mager | Physician Assistant | 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 | 2020-07-17 |
| 1013534841 | Andrew Mcleod | Physician Assistant | 4631 Deer Springs Ct, Rochester, MI 48306-4733 | 2020-06-27 |
| 1295359123 | Jenna Geary | Physician Assistant | 193 Avon Rd, Rochester, NY 14625-1932 | 2020-06-06 |
| 1063047637 | Megan Thornton | Physician Assistant | Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 | 2020-03-04 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 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.