| Endocrine Practice Group | |
|
601 Elmwood Ave Box 693 Rochester NY 14642-0001 | |
| (585) 275-2901 | |
| (585) 273-1288 |
| Full Name | Endocrine Practice Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Elmwood Ave, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SENIOR DIRECTOR OF FINANCE, URMFG) |
| Authorized Official Contact | 5857564003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Practice Group 601 Elmwood Ave Box 278911 Rochester NY 14642-0001 Ph: (585) 756-4011 | Endocrine Practice Group 601 Elmwood Ave Box 693 Rochester NY 14642-0001 Ph: (585) 275-2901 |
| NPI Number | 1811946825 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 9436149770 |
|---|---|
| Medicare Enrollment ID | O20040517001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811946825 | NPI | - | NPPES |
| G458104 | Medicaid | NY | |
| G0189014590 | Other | NY | BLCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Laticia A Valle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306857677 PECOS PAC ID: 1254368707 Enrollment ID: I20050809000180 |
| Provider Name | Steven D Wittlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740206093 PECOS PAC ID: 2567485279 Enrollment ID: I20060109000850 |
| Provider Name | Heidi L Kipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497732226 PECOS PAC ID: 9739193350 Enrollment ID: I20060202000410 |
| Provider Name | Catherine C Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609831221 PECOS PAC ID: 1951495894 Enrollment ID: I20070921000713 |
| Provider Name | Maryanne Stahlecker Etter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821105743 PECOS PAC ID: 0042389223 Enrollment ID: I20080514000031 |
| Provider Name | Jacquelyn G Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497952717 PECOS PAC ID: 6002989373 Enrollment ID: I20080718000599 |
| Provider Name | Stephen R Hammes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942267331 PECOS PAC ID: 2365506219 Enrollment ID: I20090122000002 |
| Provider Name | Marilyn F Augustine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407960966 PECOS PAC ID: 8325199730 Enrollment ID: I20090625000106 |
| Provider Name | Laura M Calvi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780633826 PECOS PAC ID: 4981736758 Enrollment ID: I20100714000032 |
| Provider Name | Ismat Shafiq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104093988 PECOS PAC ID: 2466576996 Enrollment ID: I20100903000714 |
| Provider Name | Benjamin J Gigliotti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225327489 PECOS PAC ID: 6901029404 Enrollment ID: I20140603000016 |
| Provider Name | Susanne U Miedlich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477781615 PECOS PAC ID: 5193941243 Enrollment ID: I20140725000220 |
| Provider Name | Miriam Hinaa Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639426497 PECOS PAC ID: 6305135575 Enrollment ID: I20171012000362 |
| Provider Name | Elizabeth A Keirstead |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932643459 PECOS PAC ID: 7618242892 Enrollment ID: I20171016000222 |
| Provider Name | Luis Chavez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639576622 PECOS PAC ID: 3274812912 Enrollment ID: I20180601002269 |
| Provider Name | Inga Harbuz Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598109894 PECOS PAC ID: 8729368311 Enrollment ID: I20180604000326 |
| Provider Name | David A Pillinger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972704617 PECOS PAC ID: 9537316674 Enrollment ID: I20180629001459 |
| Provider Name | Megan E Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483504 PECOS PAC ID: 2264784842 Enrollment ID: I20181009002868 |
| Provider Name | Jacqueline A Page |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205318912 PECOS PAC ID: 0547513814 Enrollment ID: I20181102001946 |
| Provider Name | Olga I Astapova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215355888 PECOS PAC ID: 2466731989 Enrollment ID: I20190520001830 |
| Provider Name | Sara R Macleod |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871911305 PECOS PAC ID: 2668745753 Enrollment ID: I20200814002030 |
| Provider Name | Ma. Melita M Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124625967 PECOS PAC ID: 5890107155 Enrollment ID: I20201210002506 |
| Provider Name | Deborah A Heinig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427671866 PECOS PAC ID: 5294147369 Enrollment ID: I20201214002398 |
| Provider Name | Carlos A Diaz-balzac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137709 PECOS PAC ID: 3577816891 Enrollment ID: I20210812002088 |
| Provider Name | Kristopher Andrew Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942874714 PECOS PAC ID: 5193121283 Enrollment ID: I20210915002788 |
| Provider Name | Lindsay E Carafone |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033614912 PECOS PAC ID: 5991052094 Enrollment ID: I20230512001916 |
| Provider Name | Adnin Zaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639597602 PECOS PAC ID: 4385911494 Enrollment ID: I20230523000051 |
| Provider Name | Dennis J. Samuel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780188094 PECOS PAC ID: 8426309881 Enrollment ID: I20230524002677 |
Jeffrey A Liberman Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 485 Titus Ave Ste H, Rochester, NY 14617 Phone: 585-544-5368 Fax: 585-287-5304 | |
Brown Square Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Brown Square Center, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 | |
Diabetes Prevention Recognition Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-6542 Fax: 585-368-4373 | |
Rekhi & Rekhi Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Long Pond Rd, Suite 411, Rochester, NY 14626 Phone: 585-426-9930 Fax: 585-426-6242 | |
Highland Hospital Of Rochester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6895 Fax: 585-341-8401 | |
Joy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 N Goodman St, Rochester, NY 14609 Phone: 585-697-0004 Fax: 585-697-0046 | |
Adult Complex Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Culver Rd, Rochester, NY 14609 Phone: 585-276-7900 Fax: 585-275-2352 |