TICHAENDEPI MUNDANGEPFUPFU (NPI# 1609113513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609113513 |
| Entity Type | Individual |
| Full Name | TICHAENDEPI MUNDANGEPFUPFU |
| Credential | MD |
| Practice Address |
601 Elmwood Ave # 604 Rochester NY 14642-5504 |
| Mailing Address |
601 Elmwood Avenue Box 604 Rochester NY 14642-0001 |
| Practice Telephone | 5852751385 |
| Mailing Telephone | 5852751385 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 301576 | NY | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
301576 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
601 ELMWOOD AVE # 604 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841520004 | Whitney E Booth | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2010-01-10 |
| 1417579152 | Michael Hipp | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-05-16 |
| 1104447200 | Vaughn James Florian | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-29 |
| 1407476278 | Marcia Mohan Chen | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-22 |
| 1558981464 | Andrew William Tynon | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-21 |
| 1750901898 | Uzoamaka Agubokwu | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-18 |
| 1487274767 | Eeshwar Kaushik Chandrasekar | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-16 |
| 1801416193 | Janit Pruthvish Pandya | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-16 |
| 1114546561 | Vincent Yeng Jieh Choo | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-15 |
| 1275152704 | Michael Valleriano II | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2020-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700143161 | Judit Wagner | Anesthesiology | 300 Ashley Dr, Rochester, NY 14620-3330 | 2012-04-23 |
| 1063788412 | Lynn Rudner Correll | Anesthesiology | 601 Elmwood Ave Box 777-r, Rochester, NY 14642-0001 | 2012-03-30 |
| 1902195985 | Oluwafemi O Awolola | Anesthesiology | 69 Chartwell Ct, Rochester, NY 14618-5375 | 2011-03-30 |
| 1023321429 | Robert Dionisio | Anesthesiology | 59 Lilac Dr Apt 7, Rochester, NY 14620-3210 | 2010-07-14 |
| 1235465691 | Joseph William Walters Jr. | Anesthesiology | 54 Mountain Rd., Rochester, NY 14625-1817 | 2009-10-20 |
| 1841446630 | Anna Kaminski | Anesthesiology | 601 Elmwood Box 604, Rochester, NY 14642-0001 | 2008-08-12 |
| 1821294364 | Sonia Gupta Pyne | Anesthesiology | University of Rochester Anesthesiology Group, 601 Elmwood Avenue, Box 604, Rochester, NY 14642-0001 | 2007-06-22 |
| 1033255807 | John Kimes Schroeder | Anesthesiology | 601 Elmwood Avenue, Box 604, Urmc, Department of Anesthesiology, Rochester, NY 14642 | 2007-01-29 |
| 1730261041 | Alexander J Vandamme | Anesthesiology | University of Rochester Anesthesia Group, 601 Elmwood Ave, Box 604, Rochester, NY 14642-0001 | 2006-10-19 |
| 1871507665 | Calvin Chiang | Anesthesiology | 1415 Portland Avenue, Center for Pain Management, M.o.b. Suite 445, Rochester, NY 14620 | 2006-07-28 |
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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.