Theodora S Paine, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

398871-1 Issued in NY

Practice address

2400 S Clinton Ave
BLDG H Suite 210
Rochester, NY 14618-2668

Phone

(585) 341-7299

Fax

(585) 341-4262

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Theodora S Paine Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• University of Rochester

  • Primary Care Clinic/Center
  • Rochester, NY
  • NPI 1548583305
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1972533529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 LIBRARY ROAD",
            "address_2": "BOX 270617",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14627",
            "telephone_number": "585-275-2662",
            "fax_number": "585-275-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CLINTON AVE",
            "address_2": "BLDG H SUITE 210",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182668",
            "telephone_number": "585-341-7299",
            "fax_number": "585-341-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "THEODORA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "398871-1",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F302183-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEODORA",
            "last_name": "PAINE",
            "middle_name": "S",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Myrna Paige, MS, RD, CDE, BC-ADM
• Pain Treatment Center
• Pain Treatment Medicine of the Finger Lakes PLLC
• Painchek Inc.
• Richard Paine
• Painted Post, LLC
• London Paisley, LPN
• Pak DME LLC
• Alla Pak, MD
• Adriana Palacio, DDS

• Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.