DR. DIRK M BERNOLD (NPI# 1659346294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659346294 |
| Entity Type | Individual |
| Full Name | DR. DIRK M BERNOLD |
| Credential | M.D. |
| Practice Address |
211 White Spruce Blvd Rochester NY 14623-1618 |
| Practice Telephone | 5854758700 |
| Practice Fax Number | 5854759411 |
| Mailing Telephone | 5854758700 |
| Mailing Fax Number | 5854759411 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
239535 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAIL ROAD MEDICARE | P00335437 | 01 |
| NY | 02769937 | 05 | |
| MN | 869605500 | 05 |
| Street Address |
211 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619769 | Scott L Barrett | Internal Medicine | 211 White Spruce Blvd, Rochester, NY 14623-1618 | 2005-09-20 |
| 1982000246 | Laura Kriwox | Nurse Practitioner | 211 White Spruce Blvd, Suite A, Rochester, NY 14623-1618 | 2014-11-14 |
| 1477567527 | Jessica Malone Kleiner | Internal Medicine | 211 White Spruce Blvd, Rochester, NY 14623-1618 | 2006-07-27 |
| 1164491841 | Robert Frost Asbury | Internal Medicine | 211 White Spruce Blvd, Interlakes Oncology & Hematology PC, Rochester, NY 14623-1618 | 2006-03-16 |
| 1518936566 | Interlakes Oncology & Hematology PC | Internal Medicine | 211 White Spruce Blvd, Rochester, NY 14623-1616 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1659614972 | Colin Michael Mchugh | Internal Medicine | 1000 South Ave Bldg Level3, Rochester, NY 14620-2733 | 2013-04-04 |
| 1265721344 | Hugo Valencia | Internal Medicine | 211 White Spruce Blvd Ste A, Rochester, NY 14623-1618 | 2011-03-29 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1750301263 | Deepak Sahasrabudhe | Internal Medicine | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2006-07-20 |
| 1568499325 | Timothy J Woodlock | Internal Medicine | 89 Genesee Street, Bishop Kearney Bldg 1st Floor, Rochester, NY 14611 | 2006-06-27 |
| 1144202607 | Aram Francis Hezel | Internal Medicine | 601 Elmwood Avenue, Box 704, Rochester, NY 14642 | 2005-11-18 |
| 1184619769 | Scott L Barrett | Internal Medicine | 211 White Spruce Blvd, Rochester, NY 14623-1618 | 2005-09-20 |
| 1730186479 | Oncology & Hematology of Oakland PC | Internal Medicine | 1135 W University Dr, Ste 220, Rochester, MI 48307-1871 | 2005-07-07 |
| 1700439478 | Maansi Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-07-22 |
| 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.