Individual provider Active NPI

Casey Marie Hanaburgh, RPA-C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1699740522
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008298-1 Issued in NY
Practice address
2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724
Phone
(585) 227-4560
Fax
(585) 227-4608
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008298-1 NY Primary

Addresses

Primary practice location

2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724

Mailing address

2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724
Phone (585) 227-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000052 NY Practitioner - Physician Assistant 0547448839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Medical GroupGroup PAC ID 6608850987, 48 clinicians

Practice addresses (Care Compare)

2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724
Phone (585) 227-4560

3669 Countryside LN
Marion, NY 14505-9781
Phone (315) 926-7733

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008298-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
Audiology Associates of Beachwood, LLC. Past Accepting new patients
Audiology Associates of Northeast Ohio Inc. Past Accepting new patients

Locations

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

155 Corporate Woods
Ste 100
Rochester, NY 14623
Phone (585) 784-7864

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: chanaburgh110623@direct.urmc.rochester.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1699740522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4560",
            "fax_number": "585-227-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4560",
            "fax_number": "585-227-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANABURGH",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008298-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.