WESTSIDE PODIATRY GROUP (NPI# 1730623869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730623869 |
| Entity Type | Organization |
| Organization Name | WESTSIDE PODIATRY GROUP |
| Other Organization Name | WESTSIDE PODIATRY GROUP |
| Practice Address |
507 Beahan Rd Rochester NY 14624-3403 |
| Practice Telephone | 5852472170 |
| Practice Fax Number | 5852473614 |
| Mailing Telephone | 5852472170 |
| Mailing Fax Number | 5852473614 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | DR. DANIEL ERIC TELLEM (PODIATRIST) |
| Authorized Official Telephone | 5852472170 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04203316 | 05 |
| Other Name | Type Code |
|---|---|
| Westside podiatry group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487198511 | Westside Podiatry Group | Podiatrist | 919 Westfall Rd, Bluiding C Suite 130, Rochester, NY 14618-2638 | 2016-12-08 |
| Street Address |
507 BEAHAN RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
| 1902956436 | Daniel Caiola | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1386601367 | Michael Gruttadauria | Podiatrist | 1081 Long Pond Rd, Suite 130, Rochester, NY 14626-5002 | 2006-04-26 |
| 1851393870 | Bhaskar Bhattacharyya | Podiatrist | 1404 Portland Avenue, Rochester, NY 14621-3016 | 2005-08-10 |
| 1487198511 | Westside Podiatry Group | Podiatrist | 919 Westfall Rd, Bluiding C Suite 130, Rochester, NY 14618-2638 | 2016-12-08 |
| 1518259688 | Arthur S Wright Dpm PC | Podiatrist | 1706 Westfall Rd, Rochester, NY 14618-2743 | 2011-05-09 |
| 1316193402 | Arthur S Wright Dpm PC | Podiatrist | 1706 Westfall Rd, Rochester, NY 14618-2743 | 2008-08-08 |
| 1295884724 | Ronald Melvin Freeling | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1588714042 | Daniel Eric Tellem | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 1427108992 | Westside Podiatry Group LLC | Podiatrist | 2236 Ridge Rd W, Rochester, NY 14626-2804 | 2007-01-10 |
| 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.