Organization Active NPI

Richard G. Gagnier, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1467624676
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60136454 Issued in NY
Legal business name
RICHARD G. GAGNIER, MD
Practice address
900 Winton Rd S
Rochester, NY 14618-1628
Phone
(585) 244-4510
Fax
(585) 244-1695
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Richard G Gagnier, MD
Title
Owner
Phone
(585) 244-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 60136454 NY Primary

Addresses

Primary practice location

900 Winton Rd S
Rochester, NY 14618-1628

Mailing address

900 Winton Rd S
Rochester, NY 14618-1628
Phone (585) 244-4510

Other identifiers 2

IdentifierTypeStateIssuer
W52264OtherNYMEDICARE PTAN GROUP
00714618MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1467624676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181628",
            "telephone_number": "585-244-4510",
            "fax_number": "585-244-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181628",
            "telephone_number": "585-244-4510",
            "fax_number": "585-244-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. GAGNIER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GAGNIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-244-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60136454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "W52264",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00714618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.