National Provider Identifier

Matthew Richard Vandermeid, PA

Matthew Richard Vandermeid, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 368-6370.

NPI 1326517608Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1326517608
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 16, 2018
Last Updated
September 23, 2021

Practice Location

  • 2300 Buffalo RD Bldg 800
  • Rochester, NY 14624-1360

Phone: (585) 368-6370

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1326517608
Entity Type
Individual
Last Name
Vandermeid
First Name
Matthew
Middle Name
Richard
Name Prefix
Mr.
Credential
PA
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 368-6370
Mailing Fax
(585) 368-6371
Practice Street Address
2300 Buffalo RD Bldg 800
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1360
Practice Country
US
Practice Phone
(585) 368-6370
Practice Fax
(585) 368-6371
Enumeration Date
November 16, 2018
Last Updated
September 23, 2021
Sex
Male
Sole Proprietor
No
Certification Date
September 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)