MRS. MICHELLE STORM (NPI# 1992865570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992865570 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE STORM |
| Credential | P.A. |
| Practice Address |
156 West Ave Brockport NY 14420-1229 |
| Mailing Address |
1039 Fawn Wood Dr Webster NY 14580-9622 |
| Practice Telephone | 5853956095 |
| Mailing Telephone | 5858721256 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10049-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548319205 | Michelle June Storm | Occupational Therapist | Hc 62 Box 3129, Thoreau, NM 87323-9507 | 2007-01-10 |
| 1710219373 | Michelle K. Storm | Pharmacist | 735 Carnegie Dr, Suite 250, San Bernardino, CA 92408-3588 | 2010-02-08 |
| Street Address |
156 WEST AVE |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942271218 | Didem Miraloglu | Internal Medicine | 156 West Ave, Suite 106, Brockport, NY 14420-1229 | 2006-01-27 |
| 1679170849 | Kelsey Covel | Nurse Practitioner | 156 West Ave, Brockport, NY 14420-1229 | 2020-10-01 |
| 1720624562 | Geena Brady | Physical Therapist | 156 West Ave, Brockport, NY 14420-1229 | 2019-11-26 |
| 1801366380 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 156 West Ave, Brockport, NY 14420-1229 | 2018-11-28 |
| 1508302159 | Melissa Kingston | Occupational Therapist | 156 West Ave, Brockport, NY 14420-1229 | 2017-01-06 |
| 1043769326 | Emma L Leatham | Physician Assistant | 156 West Ave, Brockport, NY 14420-1229 | 2016-09-27 |
| 1679811327 | Lakeside Health System | General Acute Care Hospital | 156 West Ave, Brockport, NY 14420-1229 | 2013-01-30 |
| 1801173448 | Lakeshore Surgical Practice, PC | Surgery | 156 West Ave, Brockport, NY 14420-1229 | 2011-11-10 |
| 1952613499 | Nathaniel James Wade | Pharmacist | 156 West Ave, Pharmacy Dept, Brockport, NY 14420-1229 | 2010-07-13 |
| 1235457375 | Suri Karthikeyan Mdpc | Internal Medicine | 156 West Ave, Suite 202, Brockport, NY 14420-1229 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558305144 | Ila G Hughes | Physician Assistant | 6565 Fourth Section Rd, Suite 500, Brockport, NY 14420-2414 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
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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.