Active NPI
William A Dolan, M.D.
- Orthopaedic Surgery Physician
- Rochester, NY
National Provider Identifier
1174534911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 107414
- Practice address
- 880 Westfall Rd
Ste a
Rochester, NY 14618-2611 - Phone
- (585) 546-8140
- Fax
- (585) 473-5864
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 107414 | NY | Primary |
Addresses
Primary practice location
880 Westfall Rd
Ste a
Rochester, NY 14618-2611
Mailing address
880 Westfall Rd
Ste a
Rochester, NY 14618-2611
Phone (585) 546-8140
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010107414 | Other | NY | BLUE CHOICE |
| 100604CU | Other | NY | PREFERRED CARE |
| 5873341 | Other | AETNA | |
| 00470053 | Medicaid | NY | |
| 0500693 | Other | GHI | |
| 0186 | Other | NY | BCBS- ROCHESTER, NY |
| 7701958 | Other | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107414 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1174534911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 WESTFALL RD",
"address_2": "STE A",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182611",
"telephone_number": "585-546-8140",
"fax_number": "585-473-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 WESTFALL RD",
"address_2": "STE A",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182611",
"telephone_number": "585-546-8140",
"fax_number": "585-473-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "107414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010107414",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100604CU",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5873341",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00470053",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0500693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS- ROCHESTER, NY",
"identifier": "0186",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "7701958",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.