DAVID SULLO (NPI# 1902901648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902901648 |
| Entity Type | Individual |
| Full Name | DAVID SULLO |
| Credential | MD |
| Practice Address |
220 Linden Oaks Suite 200 Rochester NY 14625-2839 |
| Practice Telephone | 5853814982 |
| Practice Fax Number | 5853811821 |
| Mailing Telephone | 5853814982 |
| Mailing Fax Number | 5853811821 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 222201 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA US HEALTHCARE | 7216284 | 01 | |
| NY | PREFERRED CARE | MDG382 | 01 |
| EXCELLUS BLUE CHOICEE | P010222201 | 01 | |
| POMCO | RC60222201 | 01 | |
| NY | MVP UPSTATE DHP | 782549 | 01 |
| NY | 02180298 | 05 | |
| NY | BLUE SHIELD OF ROCHESTER | P020222201 | 01 |
| Street Address |
220 LINDEN OAKS SUITE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295794287 | Joseph Michael Marino | Internal Medicine | 220 Linden Oaks, Suite 100, Rochester, NY 14625-2839 | 2006-03-20 |
| 1316180995 | Kassie Anna Haitz | Dermatology | 220 Linden Oaks, Suite 300, Rochester, NY 14625-2839 | 2009-04-13 |
| 1184874208 | Kimberly Anne Vogelsang | Pediatrics | 220 Linden Oaks, Suite 200, Rochester, NY 14625-2839 | 2008-09-25 |
| 1518159839 | Daniellle R Skrypek | Nurse Practitioner | 220 Linden Oaks, Suite 200, Rochester, NY 14625-2839 | 2007-08-10 |
| 1457579765 | Elmwood Medical Associates,pc | Internal Medicine | 220 Linden Oaks, Suite 100, Rochester, NY 14625-2839 | 2007-04-23 |
| 1942329727 | C F Pollack Psychology | Psychologist | 220 Linden Oaks, Suite 200, Rochester, NY 14625-2839 | 2007-03-29 |
| 1528146453 | Panorama Pediatric Group, Rllp | Pediatrics | 220 Linden Oaks, Suite 200, Rochester, NY 14625 | 2006-11-01 |
| 1720160724 | Elizabeth S Machiele | Pediatrics | 220 Linden Oaks, Suite 200 Panorama Pediatric Group Rllp, Rochester, NY 14625 | 2006-10-19 |
| 1073613840 | Christopher F Pollack | Psychologist | 220 Linden Oaks, Suite 200, Rochester, NY 14625-2839 | 2006-09-22 |
| 1841237559 | Laura Jane Kopp | Pediatrics | 220 Linden Oaks, Suite 200, Rochester, NY 14625-2839 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244212 | Syed Siraj Masood, Md, PC | Pediatrics | 1295 Portland Ave Ste 17, Rochester, NY 14621-2726 | 2018-08-13 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1427565613 | Legacy Pediatrics LLC | Pediatrics | 1815 Clinton Ave S Ste 360, Rochester, NY 14618-5725 | 2018-01-09 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1558780809 | Christina Wu | Pediatrics | 1425 Portland Ave # 228, Rochester, NY 14621-3001 | 2014-04-15 |
| 1356785059 | Adria Lara Roberti Miller | Pediatrics | 1815 S Clinton Ave Ste 310, Rochester, NY 14618 | 2013-04-24 |
| 1295001543 | Karla Suter | Pediatrics | 1800 English Rd., Rochester, NY 14616-0001 | 2012-03-30 |
| 1780950139 | Rachel Diamond | Pediatrics | 1425 Portland Ave Ste 300, Rochester, NY 14621-3001 | 2012-03-30 |
| 1861791485 | Regina Kay Rowe | Pediatrics | Pediatric Infectious Diseases 601 Elmwood Avenue, Rochester, NY 14642 | 2011-03-22 |
| 1164727475 | Irondequoit Pediatrics, Pllc | Pediatrics | 809 East Ridge Road, Rochester, NY 14621-1710 | 2011-01-18 |
| 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.