DR. JARED WACHTERMAN (NPI# 1740597475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740597475 |
| Entity Type | Individual |
| Full Name | DR. JARED WACHTERMAN |
| Credential | M.D. |
| Practice Address |
229 Parrish St Suite 200 Canandaigua NY 14424-1791 |
| Practice Telephone | 5852763000 |
| Mailing Telephone | 5852763000 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9414657 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
229 PARRISH ST SUITE 200 |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534479 | Bruce Paul Klein | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2006-06-08 |
| 1174063697 | Karilynn M Cervini | Nurse Practitioner | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2017-03-02 |
| 1114473113 | Darius Cox | Physical Therapist | 229 Parrish St, Ste 220, Canandaigua, NY 14424-1791 | 2016-08-30 |
| 1083169452 | Canandaigua Physical Therapy P.C. | Physical Therapist | 229 Parrish St, Suite 220, Canandaigua, NY 14424-1791 | 2016-08-16 |
| 1962804260 | Karen Cunningham | Nurse Practitioner | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1791 | 2014-09-18 |
| 1093086936 | Kristin Noel Verrette | Physician Assistant | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2012-01-24 |
| 1356641583 | Christopher Michael Leberth II | Physician Assistant | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2010-10-21 |
| 1114169331 | Joshua Olsen | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2009-04-02 |
| 1699933200 | Roger D Sequeira | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2008-05-30 |
| 1750506283 | Susan Laurel Fulmer | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1791 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071847 | Diane D Lu | Urology | 229 Parrish St Ste 200, Canandaigua, NY 14424-1791 | 2012-04-05 |
| 1972099893 | Shlomi Tapiero | Urology | 229 Parrish St Ste 200, Canandaigua, NY 14424-1791 | 2018-07-03 |
| 1023192168 | Bum Suck Lee | Urology | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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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.