Rena D Pine (NPI# 1669409256, PAC ID# 4385749076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669409256 |
| PAC ID by PECOS | 4385749076 |
| Professional Enrollment ID | I20070425000528 |
| Full Name | Rena D Pine |
| Organization Legal Name | ST. JOHN'S PENFIELD HOMES CORPORATION |
| Address |
65 -75 Sonoma Dr Fairport NY 14450-1064 |
| Phone Number | 5852925250 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355508565 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 65 -75 Sonoma Dr, Fairport, NY 14450-1064 | 5852925250 | ST. JOHN'S PENFIELD HOMES CORPORATION |
| 150 Highland Ave, Rochester, NY 14620-3099 | 5852715413 | ST JOHNS HEALTH CARE CORPORATION |
| Organization Legal Name | ST. JOHN'S PENFIELD HOMES CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Oliverio | Nurse Practitioner | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Street Address |
65 -75 SONOMA DR |
| City | FAIRPORT |
| State | NY |
| Zip | 14450-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Oliverio | Nurse Practitioner | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley Anne Mack | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Matthew Stoutenburg | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Kellen Richard Rotach | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Melissa A Pullin | Nurse Practitioner | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | |
| Ralph Saverio Viola | Ophthalmology | 1157 Fairport Rd, Suite 201, Fairport, NY 14450-1237 | |
| Benjamin A Caruso | Chiropractic | 1157 Fairport Rd, Fairport, NY 14450-1237 | |
| Dewey T Jackson | Internal Medicine | 2828 Baird Rd, Fairport, NY 14450-1247 | |
| Joseph G Diprima | Podiatry | 2828 Baird Rd, Suite B, Fairport, NY 14450-1247 | |
| Erin M Thompson | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
| Barbara J Norton | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
| Find all physicians in zip 14450 | |||
| City | FAIRPORT |
| Zip Code | 14450 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FAIRPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Rena D Pine.
| 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.