Westside Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

2701220R Issued in NY

Legal business name

WESTSIDE HEALTH SERVICES, INC.

Practice address

322 Lake Ave
Rochester, NY 14608-1017

Phone

(585) 254-6480

Fax

(585) 295-6009

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Laurie J. Donohue, M.D.

Title

Medical Director

Phone

(585) 436-3040

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1306941752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113634",
            "telephone_number": "585-436-3040",
            "fax_number": "585-295-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081017",
            "telephone_number": "585-254-6480",
            "fax_number": "585-295-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "585-436-3040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2701220R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OF ROCHESTER",
            "identifier": "G0182661590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Westside Family Dentistry
• Westside Health Services Inc
• Westside Optometry PLLC
• Westside Orthopaedic Group P.C.
• Westside Pediatric Group, LLP
• Westside Podiatry Group LLC
• Westside Podiatry Group LLC

• Federally Qualified Health Center (FQHC) in Rochester, NY
• Providers in Rochester, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.