Provider Demographics
NPI:1376504795
Name:STUVER, THOMAS P (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:STUVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 CANAL VIEW BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2808
Mailing Address - Country:US
Mailing Address - Phone:585-338-2700
Mailing Address - Fax:585-242-9663
Practice Address - Street 1:140 CANAL VIEW BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2808
Practice Address - Country:US
Practice Address - Phone:585-338-2700
Practice Address - Fax:585-242-9663
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY179616207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
005243141OtherHEALTH NOW PARNALL
NY01245830Medicaid
060036002OtherRAILROAD MEDICARE
005243141OtherCOMM BLUE BCBSWNY
MDA841OtherPREFERRED CARE
9685725OtherGHI
RC60179616OtherRCIPA
0001375925EOtherUNITED HEALTHCARE
000524314002OtherHEALTH NOW LINDEN OAKS
6890OtherBLUE CROSS BLUE SHIELD
5216154OtherAETNA
PO10179616OtherEXCELLUS
301125OtherWELLCARE
PO10179616OtherGRIPA
060036002OtherRAILROAD MEDICARE
060036002OtherRAILROAD MEDICARE