Provider Demographics
NPI:1124073937
Name:PILCHER, WEBSTER H (MD)
Entity type:Individual
Prefix:
First Name:WEBSTER
Middle Name:H
Last Name:PILCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 670
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-7944
Mailing Address - Fax:585-244-0502
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0002
Practice Address - Country:US
Practice Address - Phone:585-275-7944
Practice Address - Fax:585-244-0502
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179826207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01212082Medicaid
NY10070BMedicare ID - Type Unspecified
NY01212082Medicaid
NYRB1298Medicare PIN
E52492Medicare UPIN
NYIA1927Medicare ID - Type Unspecified