Jonathan Parker Wilmot (NPI# 1750606141, PAC ID# 1355652900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1750606141 |
| PAC ID by PECOS | 1355652900 |
| Professional Enrollment ID | I20160712000114 |
| Full Name | Jonathan Parker Wilmot |
| Organization Legal Name | GASTROENTEROLOGY GROUP OF ROCHESTER, LLP |
| Address |
2080 S Clinton Ave Rochester NY 14618-5703 |
| Phone Number | 5852712800 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2010 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 6800843517 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330164 | HIGHLAND HOSPITAL |
| 330074 | F F THOMPSON HOSPITAL |
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2080 S Clinton Ave, Rochester, NY 14618-5703 | 5852712800 | GASTROENTEROLOGY GROUP OF ROCHESTER, LLP |
| Organization Legal Name | GASTROENTEROLOGY GROUP OF ROCHESTER, LLP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolette Christopher | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Paul S Dziwis | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Michael E Kader | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Kelsey A Mirabal | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Jonathan I Goldstein | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| George Y Kunze | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Julie Ann Miller | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Bushra G Fazili | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Kelleyayn Wallace | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Keely R Parisian | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Street Address |
2080 S CLINTON AVE |
| City | ROCHESTER |
| State | NY |
| Zip | 14618-5703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolette Christopher | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Paul S Dziwis | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Michael E Kader | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Kelsey A Mirabal | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Jonathan I Goldstein | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| George Y Kunze | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Julie Ann Miller | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Bushra G Fazili | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Kelleyayn Wallace | Physician Assistant | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Keely R Parisian | Gastroenterology | Gastroenterology Group of Rochester, LLP | 2080 S Clinton Ave, Rochester, NY 14618-5703 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen M Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Debra Calkins Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Beth M Cerrito | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Michele M Mendelson | Clinical Social Worker | 1385 Monroe Ave, Rochester, NY 14618-1079 | |
| Alice M Tariot | Psychiatry | 603 Claybourne Rd, Rochester, NY 14618-1225 | |
| Barbara A Harris | Clinical Social Worker | 1541 Monroe Ave, Rochester, NY 14618-1423 | |
| David A Kloch | Chiropractic | 771 Winton Rd S, Rochester, NY 14618-1603 | |
| Richard G Gagnier | Internal Medicine | 900 Winton S Rd, Rochester, NY 14618-1628 | |
| Ann M Curtin Knight | Clinical Social Worker | 920 Winton Rd S, Suite A, Rochester, NY 14618-1634 | |
| Kimberly D Kalish | Clinical Psychologist | 920 Winton S Rd A, Rochester, NY 14618-1634 | |
| Find all physicians in zip 14618 | |||
| City | ROCHESTER |
| Zip Code | 14618 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | ROCHESTER + GASTROENTEROLOGY |
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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.