National Provider Identifier
Elizabeth Reardon Walsh, M.D.
Elizabeth Reardon Walsh, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 426-4100.
Profile Overview
- NPI
- 1154426880
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- September 14, 2006
- Last Updated
- November 20, 2019
Practice Location
- 900 Elmgrove Road
- Rochester, NY 14624-6236
Phone: (585) 426-4100
Mailing Address
- 900 Elmgrove RD
- Rochester, NY 14624-6236
Specialties
- Pediatrics Physician (208000000X)
Endpoints
- lizw@genesispediatrics.medentdirect.com
Direct Messaging Address | Direct | Rochester, NY 14624
Medent
Full Record
- NPI
- 1154426880
- Entity Type
- Individual
- Last Name
- Walsh
- First Name
- Elizabeth
- Middle Name
- Reardon
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Reardon
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- Stone
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 900 Elmgrove RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-6236
- Mailing Country
- US
- Mailing Phone
- (585) 426-4100
- Mailing Fax
- (585) 426-2026
- Practice Street Address
- 900 Elmgrove Road
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-6236
- Practice Country
- US
- Practice Phone
- (585) 426-4100
- Practice Fax
- (585) 426-3701
- Enumeration Date
- September 14, 2006
- Last Updated
- November 20, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- P010225721 (Excellus Blue Choicee), 02380110 (NY), 7701666 (NY, Mvp Upstate Dhp), P010225721 (NY, Blue Shield Of Rochester), MDH518 (NY, Preferred Care), 7429371 (Aetna US Healthcare), RC60225721 (Pomco)