Provider Demographics
NPI:1295983963
Name:RAUSCH, ASHLEIGH L (RPA-C)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:L
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:L
Other - Last Name:MATTESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 WILLOW POND WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2638
Mailing Address - Country:US
Mailing Address - Phone:585-377-5420
Mailing Address - Fax:585-377-3690
Practice Address - Street 1:43 WILLOW POND WAY STE 200
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2638
Practice Address - Country:US
Practice Address - Phone:585-377-5420
Practice Address - Fax:585-377-3690
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012740363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
J400003033Medicare PIN