National Provider Identifier

Stephen L Pelton, MD

Stephen L Pelton, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 383-4420.

NPI 1669424925Rochester, NYDermatology Physician

Profile Overview

NPI
1669424925
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
May 16, 2006
Last Updated
October 20, 2022

Practice Location

  • 220 Linden Oaks Ste 300
  • Rochester, NY 14625-2839

Phone: (585) 383-4420

Specialties

  • Dermatology Physician (207N00000X)
Full Record
NPI
1669424925
Entity Type
Individual
Last Name
Pelton
First Name
Stephen
Middle Name
L
Name Prefix
Dr.
Credential
MD
Mailing Street Address
220 Linden Oaks Ste 300
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2839
Mailing Country
US
Mailing Phone
(585) 383-4420
Mailing Fax
(585) 383-4515
Practice Street Address
220 Linden Oaks Ste 300
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2839
Practice Country
US
Practice Phone
(585) 383-4420
Practice Fax
(585) 383-4515
Enumeration Date
May 16, 2006
Last Updated
October 20, 2022
Sex
Male
Sole Proprietor
No
Certification Date
October 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X)
Other Identifiers
000506488005 (NY, Blue Cross Blue Shield), 102194AP (NY, Preferred Care Products), 0140 (Excellus Indemnity Plan P), 01684606 (NY), 0308906 (Independent Health Prod), 0138 (Excellus Indemnity Plan P), 070009693 (Railroad Medicare), 5681746 (Aetna Products), 040426004286 (Fedlis Care), 300340 (Well Care), P010115901 (NY, Excellus Managed Care Pro)