Medical Specialty Group Dept of

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

MEDICAL SPECIALTY GROUP DEPT OF

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 275-3461

Fax

(585) 273-1034

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill M Hetterich

Title

Senior Director of Finance Urmfg

Phone

(585) 756-4008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chin-to Fong, MD

  • Clinical Genetics (M.D.) Physician
  • Rochester, NY
  • NPI 1861430175
  Medicare reassignment NPD
• Eran Tallis, M.D.

  • Clinical Genetics (M.D.) Physician
  • Rochester, NY
  • NPI 1164957437
  Medicare reassignment NPD
• Karen Miller, CGC

  • Genetic Counselor (M.S.)
  • Rochester, NY
  • NPI 1578960308
  NPD (past)
• Clelia Negrini, MD

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1972540151

  Clinical Genetics (M.D.)

  NPD (past)
• Audrey Linn Schroeder, CGC

  • Genetic Counselor (M.S.)
  • Rochester, NY
  • NPI 1679171334
  NPD (past)
• Lauren E Smith, CGC

  • Genetic Counselor (M.S.)
  • Rochester, NY
  • NPI 1982993291
  NPD (past)
• Celeste Schepp Wyman, CGC

  • Genetic Counselor (M.S.)
  • Rochester, NY
  • NPI 1245879527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1235183765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1741",
            "fax_number": "585-756-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-3461",
            "fax_number": "585-273-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY GROUP DEPT OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Administrative Associates, Inc (Highland Pharmacy at Brooks Landing)
• Medical Administrative Associates, Inc (The Highland Southwedge Pharmacy)
• Medical Escort Transportation
• Medical Motor Service of Rochester & Monroe County, Inc.
• Medical Solutions, Inc.
• Annette M Medina-Walpole, MD
• Genevieve Anne Medina
• Lorraine Medina, R. N., N. P.
• Maya Gladys Medina
• Medisked, LLC

• Clinical Genetics (M.D.) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Genetics (M.D.) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.