Theckedath Mathew (NPI# 1144264862, PAC ID# 6406946334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1144264862 |
| PAC ID by PECOS | 6406946334 |
| Professional Enrollment ID | I20071217000059 |
| Full Name | Theckedath Mathew |
| Address |
1445 Portland Ave Suite 208 Rochester NY 14621-3008 |
| Phone Number | 5853382322 |
| Gender | M |
| Graduation Year | 1968 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330125 | ROCHESTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1445 Portland Ave, Suite 208, Rochester, NY 14621-3008 | 5853382322 |
| Street Address |
1445 PORTLAND AVE SUITE 208 |
| City | ROCHESTER |
| State | NY |
| Zip | 14621-3008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Maxwell | Neurosurgery | Western New York Medical Practice PC | 1445 Portland Ave, Suite 304, Rochester, NY 14621-3008 |
| David A Herd | Chiropractic | Boev Medical Pllc | 1445 Portland Ave, Suite 309, Rochester, NY 14621-3008 |
| Angel N Boev | Neurosurgery | Boev Medical Pllc | 1445 Portland Ave, Suite 309, Rochester, NY 14621-3008 |
| Caren C Douenias | Neurology | University of Rochester Neurosurgery Group | 1445 Portland Ave, Suite 305, Rochester, NY 14621-3044 |
| James C Metcalf Jr. | Neurosurgery | University of Rochester Neurosurgery Group | 1445 Portland Ave, Suite 305, Rochester, NY 14621-3044 |
| Omer Mohammed Wali | Internal Medicine | Rochester General Hospital | 1445 Portland Ave, Rochester, NY 14621-3036 |
| Jennifer L Mulbury | Neurology | Boev Medical Pllc | 1445 Portland Ave, Suite 309, Rochester, NY 14621-3008 |
| Andrew W Smith | Plastic and Reconstructive Surgery | Plastic Surgery Group of Rochester LLC | 1445 Portland Ave, Suite G 01, Rochester, NY 14621-3008 |
| Erica A Lawlor | Physician Assistant | University of Rochester Neurosurgery Group | 1445 Portland Ave, Suite 305, Rochester, NY 14621-3044 |
| Richard S Constantino | Internal Medicine | 1445 Portland Ave, Suite 302, Rochester, NY 14621-3008 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ana Molovic-kokovic | Nephrology | Rochester General Hospital | 370 Ridge Rd E, Rochester, NY 14621 |
| Kathleen A Wolfsong | Clinical Social Worker | 522 Long Acre Rd, Rochester, NY 14621-1114 | |
| David L Heffer | Chiropractic | 527 E Ridge Rd, Rochester, NY 14621-1203 | |
| Tina Michelle Di Santo | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Paul R Wilson | Clinical Social Worker | Behavioral Health Network, Inc | 490 Ridge Rd E, Rochester, NY 14621-1229 |
| Katherine Caldwell Milton | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Elise House Condor | Nurse Practitioner | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Rebecca Thomas | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Frances Mccarthy | Nurse Practitioner | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Katherine P Duffy | Psychiatry | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Find all physicians in zip 14621 | |||
| City | ROCHESTER |
| Zip Code | 14621 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ROCHESTER + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Theckedath Mathew.
| 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.