DR. GRETCHEN SMITH BURKE (NPI# 1659307551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659307551 |
| Entity Type | Individual |
| Full Name | DR. GRETCHEN SMITH BURKE |
| Credential | M.D. |
| Practice Address |
353 Island Cottage Rd Rochester NY 14612-2349 |
| Mailing Address |
9 High Meadow Dr Penfield NY 14526-1038 |
| Practice Telephone | 5852252610 |
| Practice Fax Number | 5855811396 |
| Mailing Telephone | 5852189838 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
192487 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 5018472 | 01 |
| NY | COMMERCIAL INSURANCES | 7702366 | 01 |
| NY | EXCELLUS BL CRSS BL SHLD | P010192487 | 01 |
| NY | 01685212 | 05 | |
| NY | EXCELLUS BLUE CHOICE | P010192487 | 01 |
| Street Address |
353 ISLAND COTTAGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14612-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992749733 | Parkway Pediatrics & Adolescent Medicine | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-06-15 |
| 1528587698 | Victoria Spencer | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2017-09-11 |
| 1003995903 | Tracy L Maier | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-11-03 |
| 1710098918 | Carla Romeis | Nurse Practitioner | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-08-31 |
| 1952339202 | Barbara M. Wedig | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294122 | Marlene Lebeau | Technician | 39 Wood Run Commons, Rochester, NY 14612 | 2019-09-13 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1043759822 | Jessica Ekiert | Licensed Practical Nurse | 143 Country Place Ln, Rochester, NY 14612 | 2017-02-14 |
| 1790179471 | Elizabeth Inclima | Specialist | 27 Hale Circle, Rochester, NY 14612 | 2015-03-20 |
| 1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
| 1811272602 | Alexandra Reidmiller | Registered Nurse | 800 Long Pond Road, Rochester, NY 14612 | 2011-10-12 |
| 1528372224 | Nicole France | Pharmacist | 665 Long Pond Rd., Rochester, NY 14612 | 2010-08-05 |
| 1407094303 | Esther Mae Platek | Licensed Practical Nurse | 4702-1 Dewey Ave, Rochester, NY 14612 | 2009-01-30 |
| 1871730614 | Edwidge May Clarke | Registered Nurse | 276 Pebbleview Drive, Rochester, NY 14612 | 2009-01-15 |
| 1073772000 | La Vonia Marie Norman - Greeen | Licensed Practical Nurse | 902 Pond View Hts, Rochester, NY 14612 | 2008-06-05 |
| Find all providers in zip 14612 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992749733 | Parkway Pediatrics & Adolescent Medicine | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-06-15 |
| 1578523254 | Lester Katzel | Pediatrics | 444 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-03-25 |
| 1124688635 | Seaboard Financial | Pediatrics | 39 N Goodman St, Rochester, NY 14607-1578 | 2019-06-17 |
| 1528587698 | Victoria Spencer | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2017-09-11 |
| 1669996278 | Leander Dominic Timothy | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-07-26 |
| 1194975110 | Roy F House | Pediatrics | 200 1st St Sw, Emeritus Staff Center Plummer North 10, Rochester, MN 55905-0001 | 2008-09-26 |
| 1700959897 | Rochester Pediatrics | Pediatrics | 163 Rochester Hill Rd, Rochester, NH 03867-1728 | 2006-11-16 |
| 1003995903 | Tracy L Maier | Pediatrics | 353 Island Cottage Rd, Rochester, NY 14612-2349 | 2006-11-03 |
| 1619906351 | Christopher H Hodgman | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-07-03 |
| 1710913827 | Richard E Kreipe | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2006-06-23 |
| 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.