National Provider Identifier
Timothy Christopher Stead, PA-C
Timothy Christopher Stead, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (716) 225-2435.
Profile Overview
- NPI
- 1487305207
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 13, 2022
- Last Updated
- October 22, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-3910
Phone: (716) 225-2435
Mailing Address
- 601 Elmwood Avenure
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1487305207
- Entity Type
- Individual
- Last Name
- Stead
- First Name
- Timothy
- Middle Name
- Christopher
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Avenure
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (716) 225-2435
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-3910
- Practice Country
- US
- Practice Phone
- (716) 225-2435
- Enumeration Date
- January 13, 2022
- Last Updated
- October 22, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)
- Other Identifiers
- 000000000 (NY)