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

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
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
Mailing address1415 Portland Ave, Suite 245, Rochester, NY 14621-3038

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