DR. ELIZABETH SUPRA (NPI# 1942350350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942350350 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH SUPRA |
| Credential | M.D. |
| Practice Address |
2225 Clinton Ave S Rochester NY 14618-2623 |
| Mailing Address |
17 Stonebridge Lane Pittsford NY 14534 |
| Practice Telephone | 5852562210 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 180331 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2225 CLINTON AVE S |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518054485 | Metro Footcare Associates L.l.p. | Podiatrist | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2006-10-10 |
| 1740317056 | Penelope L Parris | Pediatrics | 2225 Clinton Ave S, Rochester, NY 14618-2664 | 2007-02-27 |
| 1275685216 | Jean Harris Mangold | Nurse Practitioner | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on DR. ELIZABETH SUPRA.
| 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.