Provider Demographics
NPI:1336154186
Name:MCCAIG, CHELSEA M (RPA-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:M
Last Name:MCCAIG
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:M
Other - Last Name:COAKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:1850 BRIGHTON HENRIETTA TOWN LINE RD
Mailing Address - Street 2:C/O CREDENTIALING DEPARTMENT
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2532
Mailing Address - Country:US
Mailing Address - Phone:585-452-8114
Mailing Address - Fax:585-452-8111
Practice Address - Street 1:800 CARTER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2604
Practice Address - Country:US
Practice Address - Phone:585-338-1400
Practice Address - Fax:585-339-9442
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11431363A00000X
NY011431363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant