Healthcare Provider Details

I. General information

NPI: 1407302367
Provider Name (Legal Business Name): WEST END PEDIATRIC URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ENGLISH ROAD SUITE 2
ROCHESTER NY
14616-1691
US

IV. Provider business mailing address

1800 ENGLISH ROAD SUITE 2
ROCHESTER NY
14616-1691
US

V. Phone/Fax

Practice location:
  • Phone: 585-286-9595
  • Fax: 585-286-9598
Mailing address:
  • Phone: 585-286-9595
  • Fax: 585-286-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number209616
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN GEORGE O'GARA
Title or Position: SOLE OWNER
Credential: MD
Phone: 585-797-5422