Individual provider Active NPI

Kathleen Robischon, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1023180809
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
204357 Issued in NY
Practice address
990 South Ave
Suite 315
Rochester, NY 14620-2740
Phone
(585) 232-3210
Fax
(585) 232-4657
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 204357 NY Primary

Addresses

Primary practice location

990 South Ave
Suite 315
Rochester, NY 14620-2740

Mailing address

990 South Ave
Suite 315
Rochester, NY 14620-2740
Phone (585) 232-3210

Other identifiers 1

IdentifierTypeStateIssuer
01852166MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000297 NY Practitioner - Obstetrics/Gynecology 0941477509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204357NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Obstetrics & Gynecology, P.C. CurrentSince Apr 15, 2002 Accepting new patients

Locations

21 Willow Pond Way
Ste 100
Penfield, NY 14526
Phone (585) 641-0399

990 South Ave
Ste 200
Rochester, NY 14620
Phone 5852323210 ext. 315

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023180809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 315",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202740",
            "telephone_number": "585-232-3210",
            "fax_number": "585-232-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 315",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202740",
            "telephone_number": "585-232-3210",
            "fax_number": "585-232-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISCHON",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "204357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01852166",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.