MEDICARE: UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER

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	174400000X	Specialist
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1811478373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER

Provider Business Mailing Address
First Line	:	2300 W RIDGE RD STE 202
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2801
Country	:	US
Telephone Number	:	585-275-5321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 W RIDGE RD STE 202
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2801
Country	:	US
Telephone Number	:	585-275-5321
Fax Number	:

Authorized Official
Title or Position	:	SENIOR DIRECTOR OF FINANCE, URMFG
Name	:	JILL M HETTERICH
Credential	:
Telephone Number	:	585-756-4003

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	02/26/2019

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