Individual provider Active NPI

Sheena Mary Stanard, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1740457563
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
262014 Issued in NY
Practice address
1555 Long Pond Rd
Rochester, NY 14626
Phone
(585) 368-4020
Fax
(585) 368-4019
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 262014 NY Primary

Addresses

Primary practice location

1555 Long Pond Rd
Rochester, NY 14626

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 368-4020

Other practice location 1

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678

Other practice location 2

6668 Fourth Section Rd Ste 500
Brockport, NY 14420-2448
Phone (585) 637-2670

Other identifiers 1

IdentifierTypeStateIssuer
03360689MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000867 NY Practitioner - Obstetrics/Gynecology 8325217862 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Womens Health Obstetrics & Gynecology CurrentSince Oct 1, 2017 Accepting new patients
University OB/GYN Associates Obstetrics & Gynecology PastSince Oct 1, 2015 Accepting new patients
Rochester General Hospital PastSince Sep 1, 2012 Accepting new patients
University of Rochester PastSince Aug 20, 2011 Accepting new patients

Locations

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

990 South Ave
Ste 103
Rochester, NY 14620
Phone (585) 232-3210

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1740457563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Broad Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132152265",
            "country_code": "US",
            "telephone_number": "315-492-5678",
            "fax_number": "315-492-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6668 Fourth Section Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144202448",
            "country_code": "US",
            "telephone_number": "585-637-2670",
            "fax_number": "585-637-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANARD",
        "first_name": "SHEENA",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "262014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03360689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.