Theresa W Ruddy (NPI# 1841491099, PAC ID# 4082704572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1841491099 |
| PAC ID by PECOS | 4082704572 |
| Professional Enrollment ID | I20110103000866 |
| Full Name | Theresa W Ruddy |
| Organization Legal Name | ROME MEDICAL PRACTICE |
| Address |
1614 N James St Rome Pulm and Sleep Rome NY 13440-2830 |
| Phone Number | 3153373071 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1456366145 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330115 | ONEIDA HEALTHCARE CENTER |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 357 Genesee St, Suite 3, Oneida, NY 13421-2693 | 3153638800 | ONEIDA SURGICAL GROUP PC |
| 1614 N James St, Rome Pulm and Sleep, Rome, NY 13440-2830 | 3153373071 | ROME MEDICAL PRACTICE |
| Organization Legal Name | ROME MEDICAL PRACTICE |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Erica L Trimm | Physician Assistant | Rome Medical Practice | 1614 N James St, Rome, NY 13440-2830 |
| Kevin J Lynch | Physician Assistant | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Katherine M Freeman | Nurse Practitioner | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Mohammed S Seedat | Pulmonary Disease | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Keneth N Hall | General Surgery | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Glady Jacob | Neurology | Rome Medical Practice | 267 Hill Rd, Suite 100, Rome, NY 13441-4239 |
| Joseph Alfred Moretz Iii | Orthopedic Surgery | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Mark H Moriarty | Orthopedic Surgery | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Street Address |
1614 N JAMES ST ROME PULM AND SLEEP |
| City | ROME |
| State | NY |
| Zip | 13440-2830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica L Trimm | Physician Assistant | Rome Medical Practice | 1614 N James St, Rome, NY 13440-2830 |
| Alberto J Delpino | General Surgery | Rome Medical Practice | 1614 N James St, Rome, NY 13440-2830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Carolyn Lerum | Nurse Practitioner | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Diana R Wallace | Obstetrics/gynecology | Rome Medical Practice PC | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Joann Roberts | Certified Nurse Midwife (cnm) | Oneida Medical Services, Pllc | 8080 Turin Rd, Rome, NY 13440-1910 |
| James D Eagan | Physician Assistant | Ipc Hospitalist Services of New York PC | 8299 Turin Rd, Rome, NY 13440-1913 |
| Richard Mutty | Orthopedic Surgery | 7980 Turin Rd, Suite 4, Rome, NY 13440-1934 | |
| Sarah C Alexander | Nurse Practitioner | Cny Medicine and Allergy PC | 7900 Turin Rd/route 26 N, Beeches Professional Campus Bldg 2 Suites 1 and 2, Rome, NY 13440-1998 |
| Colleen A Vernold | Clinical Social Worker | 6676 Potter Rd, Rome, NY 13440-2016 | |
| Daniel E Burgdorf | Chiropractic | 7750 Merrick Rd, Rome, NY 13440-2136 | |
| Find all physicians in zip 13440 | |||
| City | ROME |
| Zip Code | 13440 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | ROME + COLORECTAL SURGERY (PROCTOLOGY) |
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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.