Kathleen A Mannava (NPI# 1427284488, PAC ID# 1153565890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1427284488 |
| PAC ID by PECOS | 1153565890 |
| Professional Enrollment ID | I20170926000880 |
| Full Name | Kathleen A Mannava |
| Organization Legal Name | UNIVERSITY OF ROCHESTER |
| Address |
80 W Ave Brockport NY 14420-1322 |
| Phone Number | 5854871400 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5799699088 |
| Number of Group Practice Members | 630 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 80 W Ave, Brockport, NY 14420-1322 | 5854871400 | UNIVERSITY OF ROCHESTER |
| 40 Celebration Dr, Rochester, NY 14620-2664 | 5852757546 | UNIVERSITY OF ROCHESTER |
| 601 Elmwood Ave, Rochester, NY 14642-0002 | UNIVERSITY OF ROCHESTER | |
| 738 Library Rd, Rochester, NY 14642-0001 | 5852752638 | UNIVERSITY OF ROCHESTER |
| 750 E Adams St, Syracuse, NY 13210-2306 | 3154644750 | UNIVERSITY PATHOLOGISTS LABORATORIES, LLP |
| Organization Legal Name | UNIVERSITY OF ROCHESTER |
| Physicians | 445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea M Juhasz | Nurse Practitioner | University of Rochester | 2300 W Jefferson Rd, Suite 400, Pittsford, NY 14534-1090 |
| Kristin A Knapp | Physician Assistant | University of Rochester | 738 Library Rd, Rochester, NY 14642-0001 |
| Lindsay A Balceniuk | Family Medicine | University of Rochester | 55 Barrett Dr, Webster, NY 14580-2927 |
| Morgan E Sullivan | Nurse Practitioner | University of Rochester | 127 W Main St, Le Roy, NY 14482-1200 |
| Matthew M Brockway | Internal Medicine | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Jesse N Schenendorf | Internal Medicine | University of Rochester | 400 White Spruce Blvd, Rochester, NY 14623-1619 |
| Natercia R Rodrigues | Family Medicine | University of Rochester | 454 E Broad St, Suite 100, Rochester, NY 14607-1724 |
| Shri O Noel | Internal Medicine | University of Rochester | 2400 Clinton S Ave G, Rochester, NY 14618-2668 |
| Kellyrose M Nichols | Family Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Aida L Santiago | Nurse Practitioner | University of Rochester | 919 Westfall Rd - Bldg C, Rochester, NY 14618-2692 |
| Street Address |
80 W AVE |
| City | BROCKPORT |
| State | NY |
| Zip | 14420-1322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula A Callahan | Clinical Social Worker | 80 W Ave, Suite L9, Brockport, NY 14420-1300 | |
| Louis H Eichel | Urology | Western New York Medical Practice PC | 80 W Ave, Brockport, NY 14420-1322 |
| Abraham A Glazer | Urology | Western New York Medical Practice PC | 80 W Ave, Brockport, NY 14420-1322 |
| Vinay R Aggarwal | Emergency Medicine | 80 W Ave, Suite 101, Brockport, NY 14420-1309 | |
| Gregory J Oleyourryk | Urology | Western New York Medical Practice PC | 80 W Ave, Brockport, NY 14420-1322 |
| Maxine Lubkin | Nurse Practitioner | Western New York Medical Practice PC | 80 W Ave, Suite 100, Brockport, NY 14420-1309 |
| Leena Mehta | Dermatology | Rajendra Mehta and Leena Mehta Physicians PC | 80 W Ave, Brockport, NY 14420-1322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Hoffmann | Emergency Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Uzma S Mehr | Pediatric Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Catherine M Goetz | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Elaine C Burritt | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Shauna Marie Ketchum | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Christopher J Sigillo | Chiropractic | 18 Graves St, Brockport, NY 14420-1206 | |
| Thomas R Adler | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Anitha V Shrikhande | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Jade J Malcho | Emergency Medicine | Emergency Associates - University of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Sandeep Mannava | Orthopedic Surgery | University Orthopaedic Associates of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Find all physicians in zip 14420 | |||
| City | BROCKPORT |
| Zip Code | 14420 |
| Specialty | DERMATOLOGY |
| City + Specialty | BROCKPORT + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.