Organization Active NPI

Morris Wortman MD PLLC

  • Gynecology Physician
  • Rochester, NY
National Provider Identifier
1700058575
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
138183-1 Issued in NY
Legal business name
MORRIS WORTMAN MD PLLC
Practice address
2020 S Clinton Ave
Rochester, NY 14618-5703
Phone
(585) 473-8770
Fax
(585) 473-8853
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Morris Wortman, MD
Title
Owner
Phone
(585) 473-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 138183-1 NY Primary

Addresses

Primary practice location

2020 S Clinton Ave
Rochester, NY 14618-5703

Mailing address

2020 S Clinton Ave
Rochester, NY 14618-5703
Phone (585) 473-8770

Other identifiers 1

IdentifierTypeStateIssuer
BA0672OtherNYMEDICARE

National Provider Directory

National Provider Directory

Locations

2020 S Clinton Ave
Rochester, NY 14618
Phone (585) 444-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1700058575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185703",
            "telephone_number": "585-473-8770",
            "fax_number": "585-473-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185703",
            "telephone_number": "585-473-8770",
            "fax_number": "585-473-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS WORTMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "WORTMAN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-473-8770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "138183-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BA0672",
            "state": "NY"
        }
    ],
    "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 23, 2009; 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.