MR. BRENTON JOSEPH LARICCIA (NPI# 1851556013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851556013 |
| Entity Type | Individual |
| Full Name | MR. BRENTON JOSEPH LARICCIA |
| Credential | RPA-C |
| Practice Address |
401 Picturesque Dr Rochester NY 14616-1005 |
| Practice Telephone | 5857703642 |
| Mailing Telephone | 5857703642 |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2008-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 012642 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 PICTURESQUE DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14616-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1760996490 | Carmella Marie Bertolone | Registered Nurse | Longridge Elementary School, 190 Longridge Avenue, Rochester, NY 14616 | 2017-11-16 |
| 1922537117 | Katrina Brianna Martin | Licensed Practical Nurse | 540 Affinity Ln, Rochester, NY 14616 | 2017-06-09 |
| 1679926174 | Aidah Mirembe | Registered Nurse | 4141 Churchill Dr, Rochester, NY 14616 | 2016-07-20 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1033507793 | Felecia C Thomas | Licensed Practical Nurse | 240 Joanne Dr. Apt #1, Rochester, NY 14616 | 2015-01-05 |
| 1548606551 | Matthew Teal | Social Worker | 1687 English Road, Rochester, NY 14616 | 2013-05-16 |
| 1982960258 | Tiffany I. Letts | Registered Nurse | 235 Valley Brook Circle, Rochester, NY 14616 | 2012-04-11 |
| 1508157793 | Venus V Scott | Licensed Practical Nurse | 24 Banker Pl, Rochester, NY 14616 | 2011-04-22 |
| 1194987271 | Gail Peterson | Counselor | English Road Psychotherapy, 1800 English Road, Rochester, NY 14616 | 2008-06-30 |
| Find all providers in zip 14616 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1336755065 | Katherine Zazulak | Physician Assistant | Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-09-18 |
| 1609489632 | Michelle Sierant | Physician Assistant | 4847 Carrington Dr, Rochester, MI 48306-1496 | 2020-08-28 |
| 1558971812 | Kelly Ann Probst | Physician Assistant | 136 Seminole Way, Rochester, NY 14618-1348 | 2020-08-03 |
| 1750999645 | Paulina Maria Mager | Physician Assistant | 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 | 2020-07-17 |
| 1013534841 | Andrew Mcleod | Physician Assistant | 4631 Deer Springs Ct, Rochester, MI 48306-4733 | 2020-06-27 |
| 1295359123 | Jenna Geary | Physician Assistant | 193 Avon Rd, Rochester, NY 14625-1932 | 2020-06-06 |
| 1063047637 | Megan Thornton | Physician Assistant | Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 | 2020-03-04 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 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.