Provider Demographics
NPI:1013958701
Name:BISHOP, AARON JAMES (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:JAMES
Last Name:BISHOP
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 HAGEN DR STE 220
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2658
Mailing Address - Country:US
Mailing Address - Phone:585-295-5476
Mailing Address - Fax:585-248-0567
Practice Address - Street 1:30 HAGEN DR STE 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2658
Practice Address - Country:US
Practice Address - Phone:585-295-5476
Practice Address - Fax:585-248-0567
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006822363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02509222Medicaid
P33074Medicare UPIN
PA0285Medicare ID - Type Unspecified
NY110816CUOtherPREFERRED CARE
NY923379001OtherHEALTHNOW