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ALICIA WESSON-ROTH HOLTZ PA NPI 1528494101


NPI Information

NPI: 1528494101
Provider Name: ALICIA WESSON-ROTH HOLTZ, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ROCHESTER GENERAL HOSPITAL

PECOS Registration: Yes

Address:
1425 PORTLAND AVE
BOX 362
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-2906
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Alicia Wesson-roth Holtz, PA is a surgical physician assistant in Rochester, NY with 11 years of experience. Alicia Wesson-roth Holtz, PA NPI is 1528494101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1425 PORTLAND AVE
BOX 362
ROCHESTER, NY
ZIP 14621-001
Phone: (585) 922-2906
Fax: (585) 922-2951

The NPI 1528494101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 1/24/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical016953NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103693941MEDICAIDNEW YORK
2J400098053MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.