Provider Demographics
NPI:1952361099
Name:ORTHOPAEDIC ASSOCIATES OF ROCHESTER, PC
Entity Type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES OF ROCHESTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-723-2814
Mailing Address - Street 1:2410 RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4114
Mailing Address - Country:US
Mailing Address - Phone:585-723-2813
Mailing Address - Fax:585-723-6877
Practice Address - Street 1:2410 RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4114
Practice Address - Country:US
Practice Address - Phone:585-723-2813
Practice Address - Fax:585-723-6877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17474AMedicare PIN
NY0283820001Medicare NSC