WESTSIDE PODIATRY GROUP NPI 1487198511

NPI Information

NPI: 1487198511
Provider Name: WESTSIDE PODIATRY GROUP

Doing Business As: WESTSIDE PODIATRY GROUP

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
919 WESTFALL RD
BLUIDING C SUITE 130
ROCHESTER, NY
ZIP 14618
Phone: (585) 506-9790
Get Directions

WESTSIDE PODIATRY GROUP is a foot surgery podiatrist in Rochester, NY. WESTSIDE PODIATRY GROUP NPI is 1487198511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westside Podiatry Group.

The provider's business location address is:

919 WESTFALL RD
BLUIDING C SUITE 130
ROCHESTER, NY
ZIP 14618-638
Phone: (585) 506-9790
Fax: (585) 697-0116

The provider's authorized official is Daniel Eric Tellem .
The authorized official title is Podiatric Medicine and has the following contact phone number (585) 225-2290.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 12/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery		NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	16336A	MEDICARE UPIN	NEW YORK
2	04203316	MEDICAID	NEW YORK
3	16336A	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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