Claire Phillilps Stutzman, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

247363 Issued in NY

Practice address

1815 Clinton Ave S
Suite 310
Rochester, NY 14618-5720

Phone

(585) 473-3535

Fax

(585) 473-1837

NPI assigned

Jan 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: clairstutzmando@twelvecornerspediatrics.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twelve Corners Pediatrics, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1568553279
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1942487699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-473-3535",
            "fax_number": "585-473-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-473-3535",
            "fax_number": "585-473-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "CLAIRE",
        "middle_name": "PHILLILPS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Rosa Stuppert II, MS ED
• Ellyn C Sturm, RN
• Robin Sturm, ED.D.
• Alicia Rose Sturn, D.D.S.
• Kevin Andrew Sturr
• Thomas P. Stuver, MD
• Xuekun Su
• Evelyn R Suarez, LPN
• Natalie Such, DPT
• Anthony Lee Suchman, MD

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.