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

Individual provider Surgical Physician Assistant · NPI 1467032573

Dallin Bruce McClanahan, PA is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with Rochester General Hospital, a 1,197-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

1425 Portland Ave
Rochester, NY 14621-3011
Phone: (585) 922-4840
Fax: (585) 922-3950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 027174 (NY)

Record details

NPI number1467032573
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 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 Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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