DR. ELIZABETH REARDON WALSH M.D. NPI 1154426880

NPI Information

NPI: 1154426880
Provider Name: DR. ELIZABETH REARDON WALSH, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
900 ELMGROVE ROAD
ROCHESTER, NY
ZIP 14624
Phone: (585) 426-4100
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DR. Elizabeth Reardon Walsh, M.D. is a pediatrics in Rochester, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Elizabeth Reardon Walsh, M.D. NPI is 1154426880. 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:

900 ELMGROVE ROAD
ROCHESTER, NY
ZIP 14624-236
Phone: (585) 426-4100
Fax: (585) 426-3701

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/20/2019.

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	208000000X	Pediatrics		225721	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	Other Provider Identifier Issuer
1	MDH518	OTHER	NEW YORK	PREFERRED CARE
2	7701666	OTHER	NEW YORK	MVP UPSTATE DHP
3	P010225721	OTHER	NEW YORK	BLUE SHIELD OF ROCHESTER
4	7429371	OTHER		AETNA US HEALTHCARE
5	P010225721	OTHER		EXCELLUS BLUE CHOICEE
6	RC60225721	OTHER		POMCO
7	02380110	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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