DR. KEVIN S. MCGRODY (NPI# 1619945599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619945599 |
| Entity Type | Individual |
| Full Name | DR. KEVIN S. MCGRODY |
| Credential | M.D. |
| Practice Address |
140 Canal View Blvd Suite 102 Rochester NY 14623-2808 |
| Practice Telephone | 5853382700 |
| Practice Fax Number | 5852429663 |
| Mailing Telephone | 5853382700 |
| Mailing Fax Number | 5852429663 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
218936 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
218936 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
218936 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 00002532476 | 01 | |
| HEALTH NOW POB | 000927831001 | 01 | |
| GRIPA | PO10218936 | 01 | |
| WELLCARE | 301139 | 01 | |
| EXCELLUS | PO10218936 | 01 | |
| TRICARE CHAMPUS | 161150309 | 01 | |
| MVP | 380144 | 01 | |
| NY | 02645325 | 05 | |
| PREFERRED CARE | MDJ014 | 01 | |
| RAILROAD MEDICARE | PO0228312 | 01 | |
| COMM. BLUE/BCBSWNY | 000927831001 | 01 | |
| HEALTH NOW LINDEN OAKS | 000927831002 | 01 | |
| GHI | 2197576 | 01 | |
| BCBS | 6890 | 01 | |
| AETNA | 7166670 | 01 | |
| RCIPA | RC60218936 | 01 |
| Street Address |
140 CANAL VIEW BLVD SUITE 102 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992601 | Vijay Kumar Krishnamoorthy | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2005-12-07 |
| 1073005997 | Nicole Lynn Holdsworth | Registered Nurse | 140 Canal View Blvd, Rochester, NY 14623 | 2018-06-06 |
| 1366893596 | Arica N Ferguson | Physician Assistant | 140 Canal View Blvd, Suite 103, Rochester, NY 14623 | 2016-06-29 |
| 1336452267 | Elizabeth Ann Butterer | Nurse Practitioner | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2010-07-20 |
| 1376757559 | Parag P Patel | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2007-05-09 |
| 1427130822 | Theresa Richardson | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-19 |
| 1477635795 | Marcia Keller | Nurse Practitioner | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-19 |
| 1427146745 | Pina C Spampanato | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-11 |
| 1730140401 | Maurice J. Vaughan | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| 1649231317 | Roy S. Wiener | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619515 | Jrk Medical LLC | Internal Medicine | 2633 Superior Dr Nw Ste 100, Rochester, MN 55901-8395 | 2018-02-20 |
| 1134481427 | Jian Shan | Internal Medicine | 30 Hagen Dr Ste 100, Rochester, NY 14625-2658 | 2012-06-12 |
| 1265722508 | Erica Olson Miller | Internal Medicine | 600 Red Creek Dr Ste 100, Rochester, NY 14623 | 2011-04-07 |
| 1427347509 | Nicholas Mckenzie Venci | Internal Medicine | 140 Canal View Blvd Ste 102, Rochester, NY 14623-2808 | 2011-03-29 |
| 1952690026 | John Michael Nayda | Internal Medicine | Unisersity of Rochester Strong Memorial, Division of Cardiology Box 679a, Rochester, NY 14642-0001 | 2011-03-29 |
| 1114242500 | Michael Vornovitsky | Internal Medicine | 601 Elmwood Ave Box 679a, Rochester, NY 14642-0001 | 2010-03-29 |
| 1629302013 | Marvin Galler | Internal Medicine | 300 Hylan Dr, # 107, Rochester, NY 14623-4216 | 2009-10-01 |
| 1952544652 | Kiran Devaraj | Internal Medicine | 1870 Winton Rd S Ste 1, Rochester, NY 14618-3960 | 2009-04-09 |
| 1326295536 | John Allen Spittell Jr. | Internal Medicine | 614 Memorial Pkwy Sw, Rochester, MN 55902-6349 | 2008-08-20 |
| 1114010865 | Gregory Mark Singer | Internal Medicine | 2664 Ridgeway Ave, Rochester, NY 14626-4209 | 2006-10-02 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.