National Provider Identifier

Matthew Bushart

Matthew Bushart is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1356755011Rochester, NYPhysician Assistant

Profile Overview

NPI
1356755011
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 19, 2014
Last Updated
June 28, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 263 Rhinecliff Dr
  • Rochester, NY 14618-1619

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

Endpoints

  • mbushart103735@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1356755011
Entity Type
Individual
Last Name
Bushart
First Name
Matthew
Name Prefix
Mr.
Mailing Street Address
263 Rhinecliff Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1619
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
June 19, 2014
Last Updated
June 28, 2023
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)