Organization Active NPI

Wende W. Young

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1194753749
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WENDE W. YOUNG
Practice address
170 Sawgrass Dr
Rochester, NY 14620-4648
Phone
(585) 442-2190
Fax
(585) 442-1837
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Wende W Young, M.D.
Title
Owner
Phone
(585) 442-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

170 Sawgrass Dr
Rochester, NY 14620-4648

Mailing address

170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 442-2190

Other identifiers 1

IdentifierTypeStateIssuer
02711806MedicaidNY

Other names 1

  • Elizabeth Wende Breast Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1194753749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-442-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-442-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDE W. YOUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WENDE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-442-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711806",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Wende Breast Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.