Active NPI
Greater Rochester Immediate Medical Care, PLLC
- Urgent Care Clinic/Center
- Rochester, NY
National Provider Identifier
1295064103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- GREATER ROCHESTER IMMEDIATE MEDICAL CARE, PLLC
- Practice address
- 2745 West Ridge Rd.
Rochester, NY 14626 - Phone
- (716) 204-4500
- NPI assigned
- Dec 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen G Holtzclaw, MD
- Title
- Owner
- Phone
- (856) 686-4317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NY | Primary |
Addresses
Primary practice location
2745 West Ridge Rd.
Rochester, NY 14626
Mailing address
2745 West Ridge Rd.
Rochester, NY 14626
Phone (716) 204-4500
Other names 1
- Rochester Immediate Care
National Provider Directory
National Provider DirectoryLocations
1881 Monroe Ave
Rochester, NY 14618
Phone (585) 613-3099
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Rochester, NY
- NPI 1528187200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1295064103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 WEST RIDGE RD.",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14626",
"telephone_number": "716-204-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2745 WEST RIDGE RD.",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14626",
"telephone_number": "716-204-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ROCHESTER IMMEDIATE MEDICAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-24",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "HOLTZCLAW",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-686-4317",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rochester Immediate Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.