Active NPI
Theodor Karl Mayer, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Rochester, NY
National Provider Identifier
1982791695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 139022
- Practice address
- 1425 Portland Ave Rochester General Hospital
Rochester General Health System
Rochester, NY 14621 - Phone
- (585) 922-9870
- Fax
- (585) 922-9872
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 139022 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave Rochester General Hospital
Rochester General Health System
Rochester, NY 14621
Mailing address
1425 Portland Ave Rochester General Hospital
Rochester General Health System
Rochester, NY 14621
Phone (585) 922-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00122193 | Other | NY | VOW RAILROAD MEDICARE |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139022 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1982791695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL",
"address_2": "ROCHESTER GENERAL HEALTH SYSTEM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-922-9870",
"fax_number": "585-922-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL",
"address_2": "ROCHESTER GENERAL HEALTH SYSTEM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-922-9870",
"fax_number": "585-922-9872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "THEODOR",
"middle_name": "KARL",
"name_prefix": "Mr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "139022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VOW RAILROAD MEDICARE",
"identifier": "P00122193",
"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 Dec 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.