Basic Information
Provider Information | |||||||||
NPI: | 1508800830 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | AKMESE | ||||||||
FirstName: | FATMA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 293 UPPER FALLS BLVD | ||||||||
Address2: |   | ||||||||
City: | ROCHESTER | ||||||||
State: | NY | ||||||||
PostalCode: | 146052184 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5859220200 | ||||||||
FaxNumber: | 5859220230 | ||||||||
Practice Location | |||||||||
Address1: | 293 UPPER FALLS BLVD | ||||||||
Address2: |   | ||||||||
City: | ROCHESTER | ||||||||
State: | NY | ||||||||
PostalCode: | 146052184 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5859220200 | ||||||||
FaxNumber: | 5859220230 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/16/2006 | ||||||||
LastUpdateDate: | 04/15/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 04/15/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 230593-1 | NY | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
ID Information
ID | Type | State | Issuer | Description | 02684391 | 05 | NY |   | MEDICAID | 000926890001 | 01 | NY | HEALTHNOW BCBSWNY ALBION | OTHER | 010230593 | 01 | NY | EXCELLUS | OTHER | 0112884 | 01 | NY | INDEPENDENT HEALTH | OTHER | 7811665 | 01 | NY | AETNA HMO | OTHER | 000926890002 | 01 | NY | HEALTHNOW BCBSWNY BRCKPRT | OTHER | MDH970BF | 01 | NY | PREFERRED CARE | OTHER | 050315000116 | 01 | NY | FIDELIS ALBION | OTHER | 050402000000 | 01 | NY | FIDELIS BRCKPRT | OTHER | 7811665 | 01 | NY | AETNA PPO/POS | OTHER |