MEDICARE: STEPHEN OLIVER HELLEMS MD

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	207R00000X	Internal Medicine Physician	132960	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	:	1598732844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN OLIVER HELLEMS MD

Provider Business Mailing Address
First Line	:	1561 LONG POND RD
Second Line	:	SUITE 303
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4117
Country	:	US
Telephone Number	:	585-368-6500
Fax Number	:	585-368-6501

Provider Business Practice Location Address
First Line	:	1561 LONG POND RD
Second Line	:	SUITE 303
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4117
Country	:	US
Telephone Number	:	585-368-6500
Fax Number	:	585-368-6501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	02/26/2016

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