Carrie Loreine Mattoon (NPI# 1649245457, PAC ID# 7719961408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649245457 |
| PAC ID by PECOS | 7719961408 |
| Professional Enrollment ID | I20040618000260 |
| Full Name | Carrie Loreine Mattoon |
| Organization Legal Name | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Address |
200 N St Geneva NY 14456-1561 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870767791 |
| Number of Group Practice Members | 300 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330058 | FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 N St, Geneva, NY 14456-1561 | WESTERN NEW YORK MEDICAL PRACTICE PC | |
| 200 N St, Suite 101, Geneva, NY 14456-1561 | 5853988253 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| 1425 Portland Ave, Rochester, NY 14621-3001 | 5859223122 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Organization Legal Name | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Physicians | 172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Sledz | Physician Assistant | Western New York Medical Practice PC | 41 Main St, Oakfield, NY 14125-1014 |
| Meghan E Leusch | Physician Assistant | Western New York Medical Practice PC | 4500 Millennium Dr, Geneseo, NY 14454-1192 |
| Rami El-shaar | Orthopedic Surgery | Western New York Medical Practice PC | 77 Sullys Trl, Pittsford, NY 14534-3754 |
| Daniel Bryan | Dermatology | Western New York Medical Practice PC | 2 Coulter Rd, Clifton Springs, NY 14432-1122 |
| Kristen M Gillotti | Family Medicine | Western New York Medical Practice PC | 470 Long Pond Rd, Rochester, NY 14612-3057 |
| Anees A Fazili | Urology | Western New York Medical Practice PC | 203 Summit St, Batavia, NY 14020-1680 |
| Jennifer Lavanga | Obstetrics/gynecology | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Elizabeth A Russo | Nurse Practitioner | Western New York Medical Practice PC | 71 Kendall St, Clifton Springs, NY 14432-9701 |
| Christopher A Brown | Orthopedic Surgery | Western New York Medical Practice PC | 401 S Main St, Canandaigua, NY 14424-2126 |
| Ruth Ellen Hetland | General Surgery | Western New York Medical Practice PC | 2235 Clinton Ave S, Rochester, NY 14618-2623 |
| Street Address |
200 N ST |
| City | GENEVA |
| State | NY |
| Zip | 14456-1561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lavanga | Obstetrics/gynecology | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Mark A Ilko | General Surgery | Geneva General Hospital | 200 N St, Suite 203, Geneva, NY 14456-1561 |
| James E Hight | Obstetrics/gynecology | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Cristina Rusu | Internal Medicine | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Jeanine Marie Ricca | Obstetrics/gynecology | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Timothy G Malia | Family Medicine | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| William R Platzer | Internal Medicine | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Pamela F Hobart | Nurse Practitioner | Geneva General Hospital | 200 N St, Suite 304, Geneva, NY 14456-1561 |
| Rachel Miller | Nurse Practitioner | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Daniela Antoaneta Henderson | Nurse Practitioner | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen A Johnston | Clinical Social Worker | 4816 Route 14a, Hall, NY 14456 | |
| Richard R Stout | Ophthalmology | 70 Mason St, Geneva, NY 14456-1104 | |
| Joseph T Perillo | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Lawrence E Larussa | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Marcie Struck | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| Joseph K Perillo | Podiatry | 650 Pre Emption Rd, Geneva, NY 14456-1334 | |
| John K Maurer | Optometry | 749 Preemption Rd, Geneva, NY 14456-1335 | |
| Chester A Scerra Jr. | Optometry | Strong Eye Care | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Benjamin P Hammond | Ophthalmology | University of Rochester Pediatric Ophthalmology Services | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Christian S Klein | Ophthalmology | Strong Eye Care | 738 Pre Emption Rd, Geneva, NY 14456-1336 |
| Find all physicians in zip 14456 | |||
| City | GENEVA |
| Zip Code | 14456 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GENEVA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carrie Loreine Mattoon.
| 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.