Peaceandgracetransportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PEACEANDGRACETRANSPORTATION

Practice address

813 Pond View HTS
Rochester, NY 14612-1350

Phone

(585) 284-5128

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Wallace W Fennell

Title

Owner

Phone

(585) 284-5128

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1922831197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 POND VIEW HTS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121350",
            "telephone_number": "585-284-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 POND VIEW HTS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121350",
            "telephone_number": "585-284-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEANDGRACETRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-284-5128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1103X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Margaret Payton, MS, RN, PMHNP
• Alejandro Roberto Paz, MD
• George Joseph Paz, MD
• Peace of Mind Medical Supply LLC
• Martin Peace, PHARM.D
• Cheryl Peacock, RN
• James Lowry Peacock, M.D.
• Marissa Peacock, MD
• Peak Chiropractic of Rochester
• Linda Diana Pealo, LPN

• Non-emergency Medical Transport (VAN) in Rochester, NY
• Providers in Rochester, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.