Dr. Elise W Van Der Jagt
MD | Pediatrics | Male
Dr. Elise W Van Der Jagt, MD is a Rochester, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Elise W Van Der Jagt is
601 Elmwood Ave, Box 635, Rochester, New York - 14642-0001. He can be contacted on phone at
585-275-8138 and fax number 585-275-2352.
Dr. Elise W Van Der Jagt is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Elise W Van Der Jagt is
1083650949 which was assigned by NPPES on 21 Jun, 2006 and it was last updated on 08 Jul, 2007.
Dr. Elise W Van Der Jagt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Elise W Van Der Jagt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Elise W Van Der Jagt |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Elise W Van Der Jagt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Elmwood Ave, Box 635
Rochester, NY, 14642-0001
United States |
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| Phone Number : | 585-275-8138 |
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| Fax Number : | 585-275-2352 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083650949 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Dr. Elise W Van Der Jagt participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6305026972 |
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| Medicare Enrollment ID : | I20110215000060 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1974 |
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| Accepts Medicare? | Yes. Dr. Elise W Van Der Jagt accepts medicare insurance. |
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Group Practice Association:
Dr. Elise W Van Der Jagt is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Elise W Van Der Jagt is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Pediatric Allergy Of Pulmonary | 8628052057 | 9 | 601 Elmwood Ave
Rochester, NY - 146420001
Ph: 5852752464 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elise W Van Der Jagt are as mentioned. Primary taxonomy code for Dr. Elise W Van Der Jagt, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 124938 | NY |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 124938 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Elise W Van Der Jagt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00512863 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 601 Elmwood Ave, Box 635
Rochester, NY, 14642-0001
United States |
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| Phone Number : | 585-275-8138 |
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| Fax Number : | 585-275-2352 |
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Business Location:
Patients can refer following map for directions to
Dr. Elise W Van Der Jagt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.