BRENT DUBESHTER (NPI# 1902816663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902816663 |
| Entity Type | Individual |
| Full Name | BRENT DUBESHTER |
| Credential | MD |
| Practice Address |
125 Lattimore Rd Suite 258 Rochester NY 14620-4159 |
| Practice Telephone | 5854428020 |
| Practice Fax Number | 5854428039 |
| Mailing Telephone | 5854428020 |
| Mailing Fax Number | 5854428039 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
1659901 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00971366 | 05 |
| Street Address |
125 LATTIMORE RD SUITE 258 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373767 | Sharon Regan | Physical Therapist | 125 Lattimore Rd, Suite 178, Rochester, NY 14620-4159 | 2005-08-16 |
| 1053923441 | Norman Madsen | Internal Medicine | 125 Lattimore Rd, Suite G-110, Rochester, NY 14620 | 2020-08-18 |
| 1104375286 | Megan Hogan-roy | Midwife | 125 Lattimore Rd, Ste 200, Rochester, NY 14620-4159 | 2016-09-29 |
| 1356634539 | Jennifer Marie Englert | Nurse Practitioner | 125 Lattimore Rd, Suite 258, Rochester, NY 14620-4159 | 2011-05-23 |
| 1407145261 | Jaclyn Erin Morrison | Obstetrics & Gynecology | 125 Lattimore Rd, Suite 200, Rochester, NY 14620-4159 | 2011-04-01 |
| 1164664249 | Natalie Sue Whaley | Obstetrics & Gynecology | 125 Lattimore Rd, Suite 150, Rochester, NY 14620-4159 | 2009-04-03 |
| 1598922031 | Freedom of Choice Ob/gyn Services of Western New York | Obstetrics & Gynecology | 125 Lattimore Rd, Suite 280, Rochester, NY 14620-4159 | 2008-05-21 |
| 1023295532 | Geoffrey Grell | Physical Therapist | 125 Lattimore Rd, Ste 178, Rochester, NY 14620-4159 | 2008-01-28 |
| 1992984140 | Patrick Solan | Surgery | 125 Lattimore Rd, Suite 270, Rochester, NY 14620-4159 | 2007-10-24 |
| 1780708131 | Borg Imaging Group LLP | Radiology | 125 Lattimore Rd, Rochester, NY 14620-4159 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932125895 | Richard Moore | Obstetrics & Gynecology | 125 Lattimore Rd Ste 258, Rochester, NY 14620-4155 | 2006-07-14 |
| 1518411321 | Jennifer Brown Broderick | Obstetrics & Gynecology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-08-10 |
| 1669825717 | Fiorella Enid Reyes Baez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-13 |
| 1629459961 | Rachel Mansfield Bramblet | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-12 |
| 1427445816 | Clarissa Polen-de | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-23 |
| 1316251796 | Ismail Mert | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-07-28 |
| 1952620577 | Cici Sijuan Liu | Obstetrics & Gynecology | 125 Lattimore Rd Ste 258, Rochester, NY 14620-4155 | 2010-05-21 |
| 1932342730 | Amanika Kumar | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-04-09 |
| 1124204946 | Andrea Mariani | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-01-10 |
| 1033129044 | Gyn Oncology Group of The University of Rochester | Obstetrics & Gynecology | 125 Lattimore Rd, Suite 258, Rochester, NY 14620-4159 | 2006-08-09 |
| 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.