National Provider Identifier

Michalena Fellows, PA-C

Michalena Fellows, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 413-1800.

NPI 1952659104Rochester, NYPhysician Assistant

Profile Overview

NPI
1952659104
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 20, 2012
Last Updated
June 29, 2023

Practice Location

  • 1300 Jefferson RD Ste 100
  • Rochester, NY 14623-3195

Phone: (585) 413-1800

Mailing Address

  • 601 Elmwood Ave # 655
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)

Endpoints

  • mfellows107840@direct.urmc.rochester.edu

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

Full Record
NPI
1952659104
Entity Type
Individual
Last Name
Fellows
First Name
Michalena
Credential
PA-C
Provider Other Last Name
Grosshans
Provider Other First Name
Michalena
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave # 655
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 273-4398
Practice Street Address
1300 Jefferson RD Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3195
Practice Country
US
Practice Phone
(585) 413-1800
Enumeration Date
August 20, 2012
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)