Provider Demographics
NPI:1295725679
Name:STUART L. KAPLAN, M.D., P.D.
Entity type:Organization
Organization Name:STUART L. KAPLAN, M.D., P.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-381-6378
Mailing Address - Street 1:2966 CLOVER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1726
Mailing Address - Country:US
Mailing Address - Phone:585-381-6378
Mailing Address - Fax:585-381-6379
Practice Address - Street 1:1065 WESTFALL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2764
Practice Address - Country:US
Practice Address - Phone:585-256-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092276207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00492420Medicaid
NY0922765OtherWORKERS COMP
C58139Medicare UPIN
NY13752CMedicare ID - Type Unspecified