Active NPI
Colin Poulter, MD
- Radiation Oncology Physician
- Rochester, NY
National Provider Identifier
1831125590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 097568
- Practice address
- 1561 Long Pond Rd
Suite 120
Rochester, NY 14626-4117 - Phone
- (585) 225-3989
- Fax
- (585) 720-0275
- NPI assigned
- Jun 24, 2006
- Last updated
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 097568 | NY | Primary |
Addresses
Primary practice location
1561 Long Pond Rd
Suite 120
Rochester, NY 14626-4117
Mailing address
601 Elmwood Ave
Box 647
Rochester, NY 14642-0001
Phone (585) 275-2171
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 |
|---|---|---|---|
| 097568 | NY | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1831125590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 647",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-2171",
"fax_number": "585-275-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 LONG POND RD",
"address_2": "SUITE 120",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264117",
"telephone_number": "585-225-3989",
"fax_number": "585-720-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULTER",
"first_name": "COLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "097568",
"primary": true
}
],
"identifiers": [],
"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 Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.