| Gastrointestinal Group | |
|
601 Elmwood Ave Box Med Rochester NY 14642-0001 | |
| (585) 275-4711 | |
| (585) 271-7868 |
| Full Name | Gastrointestinal Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Elmwood Ave, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SENIOR DIRECTOR OF FINANCE, URMFG) |
| Authorized Official Contact | 5857564008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Group 601 Elmwood Ave Box Med Rochester NY 14642-0001 Ph: (585) 784-9750 | Gastrointestinal Group 601 Elmwood Ave Box Med Rochester NY 14642-0001 Ph: (585) 275-4711 |
| NPI Number | 1114977048 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 3870495781 |
|---|---|
| Medicare Enrollment ID | O20040128000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114977048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Celeste M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215932546 PECOS PAC ID: 7719977495 Enrollment ID: I20040514000542 |
| Provider Name | Lawrence J Saubermann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740210939 PECOS PAC ID: 0042252041 Enrollment ID: I20050629000572 |
| Provider Name | Arthur J Decross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851327647 PECOS PAC ID: 6406871060 Enrollment ID: I20051012000808 |
| Provider Name | Vivek Kaul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659311074 PECOS PAC ID: 9537171475 Enrollment ID: I20080109000669 |
| Provider Name | Tiffany C Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801036405 PECOS PAC ID: 8325196439 Enrollment ID: I20090429000517 |
| Provider Name | Gopal A. Ramaraju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801822846 PECOS PAC ID: 6507815909 Enrollment ID: I20090603000546 |
| Provider Name | Wilhelmina Sizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689851164 PECOS PAC ID: 1153499140 Enrollment ID: I20091015000518 |
| Provider Name | Asad Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275563470 PECOS PAC ID: 1254524374 Enrollment ID: I20101021001006 |
| Provider Name | Nancy L Amell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770591448 PECOS PAC ID: 8921296062 Enrollment ID: I20101216000270 |
| Provider Name | Carrie Ann Wiechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133933 PECOS PAC ID: 5698955573 Enrollment ID: I20110209000964 |
| Provider Name | Jonathan C Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487711743 PECOS PAC ID: 3375677057 Enrollment ID: I20110610000563 |
| Provider Name | Shivangi T Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588829089 PECOS PAC ID: 6709036528 Enrollment ID: I20121101000002 |
| Provider Name | Mary S Vetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710154901 PECOS PAC ID: 8123263811 Enrollment ID: I20130329000132 |
| Provider Name | Danielle E Marino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043496854 PECOS PAC ID: 4981759719 Enrollment ID: I20131018001121 |
| Provider Name | Michael N Grizzanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306073382 PECOS PAC ID: 6002032273 Enrollment ID: I20140723002452 |
| Provider Name | Truptesh H Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811159338 PECOS PAC ID: 4587806450 Enrollment ID: I20140806001864 |
| Provider Name | Brandon Scott Sprung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538484308 PECOS PAC ID: 8527362680 Enrollment ID: I20160801002494 |
| Provider Name | Stephanie H Santa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225480379 PECOS PAC ID: 5395024434 Enrollment ID: I20161114001659 |
| Provider Name | Mark A Levstik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639628068 PECOS PAC ID: 9436432978 Enrollment ID: I20170208001224 |
| Provider Name | Amy R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731710 PECOS PAC ID: 6709160427 Enrollment ID: I20170224000992 |
| Provider Name | Janice M Cheong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962820324 PECOS PAC ID: 9133428519 Enrollment ID: I20170518000746 |
| Provider Name | Lee Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136601 PECOS PAC ID: 0143440008 Enrollment ID: I20170522001092 |
| Provider Name | Renee L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033131313 PECOS PAC ID: 4385869098 Enrollment ID: I20171115000485 |
| Provider Name | Brittany F Duheme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931465 PECOS PAC ID: 3577829936 Enrollment ID: I20171117001949 |
| Provider Name | Marie A Laryea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255841086 PECOS PAC ID: 8426315615 Enrollment ID: I20171124000047 |
| Provider Name | Robyn B Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396322 PECOS PAC ID: 3072872092 Enrollment ID: I20180122000691 |
| Provider Name | Jessica D'acquisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982102026 PECOS PAC ID: 1850654831 Enrollment ID: I20180405000738 |
| Provider Name | Jennifer M Boehly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336378363 PECOS PAC ID: 7113234477 Enrollment ID: I20180619003070 |
| Provider Name | Jacqueline P Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801209275 PECOS PAC ID: 9830413806 Enrollment ID: I20180716000319 |
| Provider Name | Laura Toribio Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760930614 PECOS PAC ID: 2466739974 Enrollment ID: I20180809000325 |
| Provider Name | Tanya S Bruckel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063731537 PECOS PAC ID: 5496997710 Enrollment ID: I20180810000263 |
| Provider Name | Valarie L Schiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864643 PECOS PAC ID: 8729337746 Enrollment ID: I20180823001767 |
| Provider Name | Nadia Begum Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043792419 PECOS PAC ID: 5092068486 Enrollment ID: I20181101001670 |
| Provider Name | Bandar M Aljudaibi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033682083 PECOS PAC ID: 5991043895 Enrollment ID: I20190220000513 |
| Provider Name | Elise N Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538623814 PECOS PAC ID: 9638410921 Enrollment ID: I20190415002484 |
| Provider Name | Caitlyn E Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568015691 PECOS PAC ID: 3173855194 Enrollment ID: I20191024001074 |
| Provider Name | Amulya V Penmetsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104270115 PECOS PAC ID: 2264779883 Enrollment ID: I20200403001993 |
| Provider Name | Jordan L Coykendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549682 PECOS PAC ID: 6608205786 Enrollment ID: I20200413000450 |
| Provider Name | Mohammed Absar Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336568534 PECOS PAC ID: 4587915657 Enrollment ID: I20200813003321 |
| Provider Name | Courtney Marie Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760081087 PECOS PAC ID: 4183035017 Enrollment ID: I20201130000096 |
| Provider Name | Maisa I Abdalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669645222 PECOS PAC ID: 2961670476 Enrollment ID: I20201228000357 |
| Provider Name | Alana Nicole Mary Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184290116 PECOS PAC ID: 1052714755 Enrollment ID: I20210719001813 |
| Provider Name | Andriana Farruggia Kobylanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184291544 PECOS PAC ID: 1456755297 Enrollment ID: I20210802001680 |
| Provider Name | Allyson Zornow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306412291 PECOS PAC ID: 1153725064 Enrollment ID: I20210813000883 |
| Provider Name | Emily Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636370 PECOS PAC ID: 4082019559 Enrollment ID: I20210820002038 |
| Provider Name | Lisa B Seltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801465968 PECOS PAC ID: 9537564521 Enrollment ID: I20210830002569 |
| Provider Name | Sheronda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154906303 PECOS PAC ID: 9335547926 Enrollment ID: I20211012003302 |
| Provider Name | Priya D Farooq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588007504 PECOS PAC ID: 4688972094 Enrollment ID: I20220106001143 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20220512000572 |
| Provider Name | Nicholas Bartell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679927446 PECOS PAC ID: 8820342074 Enrollment ID: I20220512002274 |
| Provider Name | Rodolfo P Belen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992448799 PECOS PAC ID: 3971981531 Enrollment ID: I20220609002955 |
| Provider Name | Tara A Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619603107 PECOS PAC ID: 5799168894 Enrollment ID: I20220823002416 |
| Provider Name | Naoki E Chiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801517719 PECOS PAC ID: 9537545116 Enrollment ID: I20221005001477 |
| Provider Name | Alecia M Moodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205318631 PECOS PAC ID: 8325418320 Enrollment ID: I20230109002402 |
| Provider Name | Patrick A Twohig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407377955 PECOS PAC ID: 4183990781 Enrollment ID: I20230725002171 |
| Provider Name | Joseph Louis Ippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033894746 PECOS PAC ID: 8527422948 Enrollment ID: I20230918002526 |
| Provider Name | Jamie Ann Sanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063291128 PECOS PAC ID: 0143677252 Enrollment ID: I20231111000017 |
| Provider Name | Mekenzie Ann Defone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259362 PECOS PAC ID: 8123461274 Enrollment ID: I20240206003079 |
Jeffrey A Liberman Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 485 Titus Ave Ste H, Rochester, NY 14617 Phone: 585-544-5368 Fax: 585-287-5304 | |
Brown Square Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Brown Square Center, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 | |
Diabetes Prevention Recognition Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-6542 Fax: 585-368-4373 | |
Rekhi & Rekhi Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Long Pond Rd, Suite 411, Rochester, NY 14626 Phone: 585-426-9930 Fax: 585-426-6242 | |
Highland Hospital Of Rochester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6895 Fax: 585-341-8401 | |
Joy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 N Goodman St, Rochester, NY 14609 Phone: 585-697-0004 Fax: 585-697-0046 | |
Adult Complex Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Culver Rd, Rochester, NY 14609 Phone: 585-276-7900 Fax: 585-275-2352 |