KATHRYN MAUREEN GODSHALK (NPI# 1437534294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437534294 |
| Entity Type | Individual |
| Full Name | KATHRYN MAUREEN GODSHALK |
| Credential | PA |
| Practice Address |
1561 Long Pond Rd Suite 303 Rochester NY 14626-4117 |
| Practice Telephone | 5853686500 |
| Practice Fax Number | 5853686501 |
| Mailing Telephone | 5853686500 |
| Mailing Fax Number | 5853686501 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018817 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04247536 | 05 |
| Street Address |
1561 LONG POND RD SUITE 303 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707905 | Tatiana Zilberberg | Pathology | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2005-08-10 |
| 1992365316 | Olusayo Sarah Akinboboye | Physician Assistant | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2019-06-18 |
| 1134660806 | Irene Jarema | Registered Nurse | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-03-15 |
| 1215474994 | Mark Stowell | Pharmacist | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-01-19 |
| 1881140168 | Sarai Shyday Huitt | Nurse Practitioner | 1561 Long Pond Rd, Suite 202, Rochester, NY 14626-4117 | 2016-08-28 |
| 1871976480 | Galina Mikhalina | Internal Medicine | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2015-06-30 |
| 1043612401 | Lauren Marie Newson | Nurse Practitioner | 1561 Long Pond Rd, Suite 408, Rochester, NY 14626-4117 | 2014-09-17 |
| 1811251473 | Maysaa A Hameed | Internal Medicine | 1561 Long Pond Rd, Suite 480, Rochester, NY 14626-4117 | 2012-06-28 |
| 1770861726 | Patricia Ann Ryan | Nurse Practitioner | 1561 Long Pond Rd, 150, Rochester, NY 14626-4117 | 2011-07-25 |
| 1811285190 | Waleed Quwatli | Internal Medicine | 1561 Long Pond Rd, Suite 303, Rochester, NY 14626-4117 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 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.