Edith G Grannum (NPI# 1821060237, PAC ID# 2466351143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1821060237 |
PAC ID by PECOS | 2466351143 |
Professional Enrollment ID | I20031231000579 |
Full Name | Edith G Grannum |
Organization Legal Name | EDITH GRANNUM MD PC |
Address |
2220 S Clinton Ave Rochester NY 14618-2622 |
Phone Number | 5854616000 |
Gender | F |
Credential | MD |
Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6103995105 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330285 | STRONG MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2220 S Clinton Ave, Rochester, NY 14618-2622 | 5854616000 | EDITH GRANNUM MD PC |
Organization Legal Name | EDITH GRANNUM MD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary M Wadsworth | Nurse Practitioner | Edith Grannum Md PC | 2220 S Clinton Ave, Rochester, NY 14618-2622 |
Street Address |
2220 S CLINTON AVE |
City | ROCHESTER |
State | NY |
Zip | 14618-2622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary M Wadsworth | Nurse Practitioner | Edith Grannum Md PC | 2220 S Clinton Ave, Rochester, NY 14618-2622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allen M Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
Debra Calkins Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
Beth M Cerrito | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
Michele M Mendelson | Clinical Social Worker | 1385 Monroe Ave, Rochester, NY 14618-1079 | |
Alice M Tariot | Psychiatry | 603 Claybourne Rd, Rochester, NY 14618-1225 | |
Barbara A Harris | Clinical Social Worker | 1541 Monroe Ave, Rochester, NY 14618-1423 | |
David A Kloch | Chiropractic | 771 Winton Rd S, Rochester, NY 14618-1603 | |
Richard G Gagnier | Internal Medicine | 900 Winton S Rd, Rochester, NY 14618-1628 | |
Ann M Curtin Knight | Clinical Social Worker | 920 Winton Rd S, Suite A, Rochester, NY 14618-1634 | |
Kimberly D Kalish | Clinical Psychologist | 920 Winton S Rd A, Rochester, NY 14618-1634 | |
Find all physicians in zip 14618 |
City | ROCHESTER |
Zip Code | 14618 |
Specialty | FAMILY MEDICINE |
City + Specialty | ROCHESTER + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.