MARC L SIDITSKY (NPI# 1972521847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972521847 |
| Entity Type | Individual |
| Full Name | MARC L SIDITSKY |
| Credential | RPA-C |
| Practice Address |
1445 Portland Avenue Ste 309 Rochester NY 14621-3008 |
| Practice Telephone | 5853422638 |
| Practice Fax Number | 5857307500 |
| Mailing Telephone | 5853422638 |
| Mailing Fax Number | 5857307500 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000373-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 000373 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01272146 | 05 |
| Street Address |
1445 PORTLAND AVENUE STE 309 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818883 | Peter Helpbringer Van Brunt | Internal Medicine | 1445 Portland Avenue, Suite 302, Rochester, NY 14621 | 2006-04-03 |
| 1003162470 | Sara Nichole Brandel | Physician Assistant | 1445 Portland Avenue, Suite 309, Rochester, NY 14621-3008 | 2012-08-03 |
| 1316244239 | Rachel Gianni | Chiropractor | 1445 Portland Avenue, Suite 309, Rochester, NY 14621-3008 | 2011-02-14 |
| 1306851951 | Jennifer Lynn Mulbury | Psychiatry & Neurology | 1445 Portland Avenue, Suite 309, Rochester, NY 14621-3008 | 2006-07-30 |
| 1144264862 | Theckedath Mathew | Internal Medicine | 1445 Portland Avenue, Suite 208, Rochester, NY 14621 | 2006-06-15 |
| 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 | 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.