WOUND CARE MEDICAL ASSOCIATES PC (NPI# 1770003857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770003857 |
| Entity Type | Organization |
| Organization Name | WOUND CARE MEDICAL ASSOCIATES PC |
| Practice Address |
1500 Portland Ave Rochester NY 14621-3065 |
| Mailing Address |
1500 Portland Avenue Attention Wound Center Medical Associates Rochester NY 14621-3065 |
| Practice Telephone | 5856975004 |
| Mailing Telephone | 5856975001 |
| Mailing Fax Number | 5854135011 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | LEANNE MATHIS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5856975001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1500 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276676 | John Jurik | Internal Medicine | 1500 Portland Ave, Rochester, NY 14621-3065 | 2005-06-23 |
| 1801497862 | St Anns Podiatry PC | Podiatrist | 1500 Portland Ave, Rochester, NY 14621-3065 | 2020-11-05 |
| 1518421510 | Rachel Renee Holmes | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2019-01-24 |
| 1265918395 | Rachel Ann Salisbury | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2018-07-11 |
| 1427561356 | Mansura Malik | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2017-11-14 |
| 1003356668 | Nancy Lm Wilcox | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2017-03-02 |
| 1154772028 | Anne May | Registered Nurse | 1500 Portland Ave, Rochester, NY 14621-3065 | 2016-06-22 |
| 1437545936 | Rebecca Kant | Internal Medicine | 1500 Portland Ave, Rochester, NY 14621-3065 | 2015-04-10 |
| 1861808107 | Kathleen Gleason | Dietitian, Registered | 1500 Portland Ave, Rochester, NY 14621-3065 | 2014-07-08 |
| 1831529304 | Christopher Gise | Physician Assistant | 1500 Portland Ave, Rochester, NY 14621-3065 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526128 | Jill Russell Pavone | Specialist | 1850 Buffalo Rd Ste 200, Rochester, NY 14624-1550 | 2019-06-07 |
| 1205390887 | Kristy Lynn Shields | Specialist | 640 Jefferson Ave, Rochester, NY 14611-3548 | 2019-01-28 |
| 1962986364 | Allison Anne Skwirz | Specialist | 152 Barrington St Apt 108, Rochester, NY 14607-2957 | 2018-09-20 |
| 1811478373 | University Orthopaedic Associates of Rochester | Specialist | 2300 W Ridge Rd Ste 202, Rochester, NY 14626-2801 | 2018-08-23 |
| 1619457496 | University Orthopaedic Associates of Rochester | Specialist | 1000 South Ave Rm H-210, Rochester, NY 14620-2733 | 2018-08-21 |
| 1891201257 | Kate Elizabeth Huggler-rubin | Specialist | 247 Wellington Ave, Rochester, NY 14611-3039 | 2017-12-21 |
| 1194259580 | Jenny Elahi | Specialist | 99 Eastgate Dr, Rochester, NY 14617-4136 | 2017-04-12 |
| 1326591421 | Rochester Endovascular Pllc | Specialist | 1892 Winton Rd S, Rochester, NY 14618-3996 | 2016-07-26 |
| 1912352329 | Cesely Warren | Specialist | 82 Kafana Dr, Rochester, NY 14612-2718 | 2016-05-04 |
| 1043685472 | Krista Gehm | Specialist | 2400 S Clinton Ave Ste 130, Rochester, NY 14618-2668 | 2015-12-10 |
| 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.