DR. GARY B TEBOR (NPI# 1679515399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679515399 |
| Entity Type | Individual |
| Full Name | DR. GARY B TEBOR |
| Credential | M.D. |
| Practice Address |
30 Hagen Dr Ste 220 Rochester NY 14625-2658 |
| Practice Telephone | 5852955476 |
| Practice Fax Number | 5852485106 |
| Mailing Telephone | 5852955476 |
| Mailing Fax Number | 5852485106 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
131222 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
30 HAGEN DR STE 220 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013958701 | Aaron James Bishop | Physician Assistant | 30 Hagen Dr Ste 220, Rochester, NY 14625-2658 | 2006-06-10 |
| 1841453768 | Everett Sandor Weiss | Orthopaedic Surgery | 30 Hagen Dr Ste 220, Rochester, NY 14625-2658 | 2008-07-10 |
| 1194835629 | Raymond C Montanaro | Physician Assistant | 30 Hagen Dr Ste 220, Rochester, NY 14625-2658 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023564234 | Susan Elizabeth Nelson | Orthopaedic Surgery | 601 Elmwood Ave, Rochester, NY 14625 | 2016-08-28 |
| 1427200716 | P. Christopher Cook | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689925372 | Advanced Orthopedics and Joint Preservation PC | Orthopaedic Surgery | 141 E Merrick Rd, Suite B, Valley Stream, NY 11580-5925 | 2012-09-21 |
| 1154689867 | Allison Brooke Spitzer | Orthopaedic Surgery | 7 Vermont Drive, Center for Pediatric Orthopaedic Surgery, New Hyde Park, NY 11042 | 2012-05-01 |
| 1023392354 | Wesley V. Carrion, Md PC | Orthopaedic Surgery | 1 Shore Dr, Setauket, NY 11733-1619 | 2011-10-05 |
| 1114198751 | Matthew Robert Wagner | Orthopaedic Surgery | 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 | 2008-03-21 |
| 1023238979 | David Richard Graham | Orthopaedic Surgery | 690 W Clinton St, Elmira, NY 14905-2226 | 2007-04-25 |
| 1629291612 | Leon Sultan | Orthopaedic Surgery | 255 Franklin Ave., Franklin Square, NY 07740-1436 | 2007-04-10 |
| 1316980428 | Richard I Ulin | Orthopaedic Surgery | 1095 Park Ave, New York, NY 10128-1154 | 2006-06-14 |
| 1720620149 | Christopher Ryan Chapman | Orthopaedic Surgery | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2019-10-17 |
| 1437672623 | Karim Masrouha | Orthopaedic Surgery | 550 1st Ave, New York, NY 10016-6402 | 2017-07-20 |
| 1770931776 | Jenny Frances, LLC | Orthopaedic Surgery | 303 2nd Ave, Suite 19, New York, NY 10003-2739 | 2016-05-31 |
| Find all providers with the same taxonomy | ||||
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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.