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

Courtney Alyssa Putnam, PA

Individual provider Medical Physician Assistant · NPI 1558034157

Courtney Alyssa Putnam, PA is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with Cardiology Clinical Group, a 149-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

140 Canal View Blvd Ste 102
Rochester, NY 14623-2815
Phone: (585) 338-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1835 Fairport Nine Mile Point Rd Ste 200, Penfield, NY 14526-1903 — (585) 338-2700
  • 2400 S Clinton Ave Bldg G, Rochester, NY 14618-2668 — (585) 341-7800
  • 999 E Ridge Rd Ste 1000, Rochester, NY 14621-1936 — (585) 338-2700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 026720 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 26720 (NY)

Record details

NPI number1558034157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 17, 2023
Certification dateJuly 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cardiology Clinical Group — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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