MEDICARE: WESTSIDE PODIATRY GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730623869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE PODIATRY GROUP LLC

Provider Business Mailing Address
First Line	:	507 BEAHAN RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3403
Country	:	US
Telephone Number	:	585-247-2170
Fax Number	:	585-247-3614

Provider Business Practice Location Address
First Line	:	507 BEAHAN RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3403
Country	:	US
Telephone Number	:	585-225-2290
Fax Number	:	585-247-3614

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. DANIEL ERIC TELLEM
Credential	:	DPM
Telephone Number	:	585-247-2170

Provider Enumeration Date	:	12/08/2016
Last Update Date	:	06/08/2026

Similar Medicare Providers

1073575429 — DR. MICHAEL PATRICK MCMULLEN M.D.
Practice Location Address:

505 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-426-1470
Practice Fax: 585-426-6510

1174638183 — DR. THOMAS C BURM JR. DMD
Practice Location Address:

523 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-426-2550
Practice Fax: 585-426-4118

1164504593 — DR. RODNEY EARL O'CONNOR D.M.D.
Practice Location Address:

521 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-436-1640
Practice Fax: 585-436-5969

1326198565 — DR. MARK BALONEK DDS
Practice Location Address:

513 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-426-3050
Practice Fax:

1922151745 — DR. MOLLY E HUGHES M.D.
Practice Location Address:

497 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-247-3010
Practice Fax: 585-247-4383

1134272867 — DR. CAROL ANN GAGNON M.D.
Practice Location Address:

497 BEAHAN RD
ROCHESTER, NY
14624-3403

Practice Phone: 585-247-5400
Practice Fax: 585-319-4124

Directions to “WESTSIDE PODIATRY GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.