Northside Echocardiography, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

131660 Issued in NY

Legal business name

NORTHSIDE ECHOCARDIOGRAPHY, PC

Practice address

1415 Portland Ave
Suite 555
Rochester, NY 14621-3038

Phone

(585) 336-5050

Fax

(585) 336-5051

NPI assigned

Sep 6, 2007

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandy Mitchell

Title

Office Manager

Phone

(585) 336-5050

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Laura J von Doenhoff, MD Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1073708756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SUITE 555",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-336-5050",
            "fax_number": "585-336-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SUITE 555",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-336-5050",
            "fax_number": "585-336-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ECHOCARDIOGRAPHY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-336-5050"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "131660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID#",
            "identifier": "17465B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER #",
            "identifier": "MD4G96",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00616633",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA1217",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER ID",
            "identifier": "P010131660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI LAURA J VON DOENHOFF, MD",
            "identifier": "1013967074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N389329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5309317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura J von Doenhoff, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Northland Hearing Centers, Inc. (Hear For You)
• Caroline Northrup, RN
• Christine R Northrup, NP
• Mackenzie Marguerite Northrup
• Madigan Rene Northrup, CNM
• Hannah Norton, DO
• Jessica R Norton, M.D.
• Kristin D Norton, M.S., CCC-SLP
• Mary Terese Norton, OT
• Fred E Norway, MS,OD

• Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.