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

Mr. Ryan Peterson, PA

Individual provider Medical Physician Assistant · NPI 1356758940

Mr. Ryan Peterson, PA is a Physician Assistant in Rochester, New York. Qualified in 2014, 12 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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

300 Crittenden Blvd
Rochester, NY 14642-0001
Phone: (585) 276-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 65 Genesee St, Rochester, NY 14611-3201 — (585) 368-3050
  • 470 Long Pond Rd, Rochester, NY 14612-3057 — (585) 227-2600
  • 100 Kings Hwy S, Rochester, NY 14617-5504 — (585) 922-8353
  • 1425 Portland Ave, Rochester, NY 14621 — (585) 338-1200

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017897 (NY)

Record details

NPI number1356758940
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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