Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephen E Ettinghausen, MD

Individual provider Surgery Physician · NPI 1225068638

Stephen E Ettinghausen, MD is a Surgery Physician in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1415 Portland Ave Ste 245
Rochester, NY 14621-3038 Not confirmed with CMS for 14 years — call before visiting
Phone: (585) 922-4874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 138462 (NY)
Surgery Physician Taxonomy 208600000X · Licence 138462 (NY)

Record details

NPI number1225068638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2006
Last updated in NPPESAugust 6, 2012

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