National Provider Identifier
Krystol Johnston O'Rourke, M.D.
Krystol Johnston O'Rourke, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Geneseo, NY and a listed phone number of (585) 295-6760.
Profile Overview
- NPI
- 1811975287
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- January 05, 2006
- Last Updated
- January 10, 2025
Practice Location
- 4302 Gateway Dr
- Geneseo, NY 14454-9449
Phone: (585) 295-6760
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Endpoints
- korourke11093@direct.UNC.nchie.net
Direct Messaging Address | Direct | Other | Cary, NC 27518
- korourke11093@direct.unc.nchie.net
Direct Messaging Address | Direct | Other | Cary, NC 27518
Full Record
- NPI
- 1811975287
- Entity Type
- Individual
- Last Name
- O'Rourke
- First Name
- Krystol
- Middle Name
- Johnston
- Credential
- M.D.
- Provider Other Last Name
- Johnston
- Provider Other First Name
- Krystol
- Provider Other Middle Name
- Lynn
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 4302 Gateway Dr
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-9449
- Practice Country
- US
- Practice Phone
- (585) 295-6760
- Enumeration Date
- January 05, 2006
- Last Updated
- January 10, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)