National Provider Identifier
Portland Orthopaedic Associates LLC
Portland Orthopaedic Associates LLC is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Rochester, NY and a listed phone number of (585) 266-3300.
Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1629185756
- Provider Type
- Organization
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- August 24, 2006
- Last Updated
- August 22, 2020
Practice Location
- 1299 Portland Avenue
- Suite 16
- Rochester, NY 14621
Phone: (585) 266-3300
Authorized Official
- Name
- Michael A Niles
- Title
- Solo Practitioner
- Credentials
- MD
- Phone
- (585) 266-3300
Specialties
- Orthopaedic Surgery Physician (207X00000X)
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Full Record
- NPI
- 1629185756
- Entity Type
- Organization
- Organization Name
- Portland Orthopaedic Associates LLC
- Mailing Street Address
- 1299 Portland Avenue
- Mailing Address Line 2
- Suite 16
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 266-3300
- Mailing Fax
- (585) 266-2163
- Practice Street Address
- 1299 Portland Avenue
- Practice Address Line 2
- Suite 16
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 266-3300
- Practice Fax
- (585) 266-2163
- Enumeration Date
- August 24, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Niles
- Authorized Official First Name
- Michael
- Authorized Official Middle Name
- A
- Authorized Official Title
- Solo Practitioner
- Authorized Official Phone
- (585) 266-3300
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X)
- Other Identifiers
- 01430097 (NY), 0181311590 (NY, Excellos), 102371CU (NY, Preferred Care)