Marygrace V Fogg (NPI# 1104372747, PAC ID# 4789972001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104372747 |
| PAC ID by PECOS | 4789972001 |
| Professional Enrollment ID | I20161019000788 |
| Full Name | Marygrace V Fogg |
| Organization Legal Name | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| Address |
2685 E Henrietta Rd Henrietta NY 14467-9370 |
| Phone Number | 5854440058 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123158078 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2745 W Ridge Rd, Greece, NY 14626-3038 | 5852255252 | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 5854440058 | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| 2226 Penfield Rd, Penfield, NY 14526-1922 | 5853885280 | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| 1065 Ridge Rd, Webster, NY 14580-2952 | 5858722573 | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| Organization Legal Name | GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arieal Elizabeth Cook | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 1065 Ridge Rd, Webster, NY 14580-2952 |
| Lauren R Reed | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Richard P Sullivan | Pediatric Medicine | Greater Rochester Immediate Medical Care Pllc | 2745 W Ridge Rd, Greece, NY 14626-3038 |
| Constance F Lawrence | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 2226 Penfield Rd, Penfield, NY 14526-1922 |
| Jose O Santiago | Internal Medicine | Greater Rochester Immediate Medical Care Pllc | 2745 W Ridge Rd, Greece, NY 14626-3038 |
| Janet M Williams | Emergency Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Tracey Q Davidoff | Internal Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Lisa M Gambino | Family Medicine | Greater Rochester Immediate Medical Care Pllc | 2745 W Ridge Rd, Greece, NY 14626-3038 |
| Heather L Lee | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 1065 Ridge Rd, Webster, NY 14580-2952 |
| Karolina K Micalos | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Street Address |
2685 E HENRIETTA RD |
| City | HENRIETTA |
| State | NY |
| Zip | 14467-9370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren R Reed | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Janet M Williams | Emergency Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Tracey Q Davidoff | Internal Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Karolina K Micalos | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Debra R Keller | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Carrie A Colombo | Emergency Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Scott T Allan | Family Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Lorraine Vyverberg | Nurse Practitioner | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Adrianna Zia Piccone | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Cassidy R Smith | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Weissman | Optometry | 2824 E Henrietta Rd, Henrietta, NY 14467-9322 | |
| Shahab Dian | Internal Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Dewanshi Patel | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Patrick J Costa | Family Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Kyle W Brandt | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Stephanie L Wierzba | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Paul F Lehoullier | Pediatric Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Eric T Nielsen | Internal Medicine | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Michalena Lucile Wallber Fellows | Physician Assistant | Greater Rochester Immediate Medical Care Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Richard E Abbott | Internal Medicine | Greater Rochester Immediate Medical Care, Pllc | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 |
| Find all physicians in zip 14467 | |||
| City | HENRIETTA |
| Zip Code | 14467 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HENRIETTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marygrace V Fogg.
| 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.