CHRISTOPHER MICHAEL LEBERTH II (NPI# 1356641583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356641583 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL LEBERTH II |
| Credential | PA |
| Practice Address |
229 Parrish St Suite 100 Canandaigua NY 14424-1791 |
| Practice Telephone | 5853941960 |
| Practice Fax Number | 5853939232 |
| Mailing Telephone | 5853941960 |
| Mailing Fax Number | 5853939232 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
229 PARRISH ST SUITE 100 |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534479 | Bruce Paul Klein | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2006-06-08 |
| 1174063697 | Karilynn M Cervini | Nurse Practitioner | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2017-03-02 |
| 1114473113 | Darius Cox | Physical Therapist | 229 Parrish St, Ste 220, Canandaigua, NY 14424-1791 | 2016-08-30 |
| 1083169452 | Canandaigua Physical Therapy P.C. | Physical Therapist | 229 Parrish St, Suite 220, Canandaigua, NY 14424-1791 | 2016-08-16 |
| 1962804260 | Karen Cunningham | Nurse Practitioner | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1791 | 2014-09-18 |
| 1093086936 | Kristin Noel Verrette | Physician Assistant | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2012-01-24 |
| 1740597475 | Jared Wachterman | Urology | 229 Parrish St, Suite 200, Canandaigua, NY 14424-1791 | 2010-09-01 |
| 1114169331 | Joshua Olsen | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2009-04-02 |
| 1699933200 | Roger D Sequeira | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2008-05-30 |
| 1750506283 | Susan Laurel Fulmer | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1791 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639148315 | Cynthia Sanders Ingalls | Physician Assistant | 360 Parish St, Sands Cancer Center, Canandaigua, NY 14424 | 2006-03-16 |
| 1982985115 | Laura Ann Lindsay | Physician Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2011-09-01 |
| 1558560995 | Kimberly Jo Tuttle | Physician Assistant | 495 N Main St, Canandaigua, NY 14424-1283 | 2007-07-16 |
| 1396893400 | Bernard A Logan Jr. | Physician Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2007-01-08 |
| 1710062583 | Eula Lee Serrino | Physician Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2006-10-27 |
| 1891889952 | Anne D Finch | Physician Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2006-10-03 |
| 1154347094 | Robert H. Smith | Physician Assistant | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2006-07-14 |
| 1982683934 | Cynthia M Marino | Physician Assistant | 3200 West St, Canandaigua, NY 14424-1722 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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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.