Russell P Maggio (NPI# 1518932441, PAC ID# 8921022641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518932441 |
| PAC ID by PECOS | 8921022641 |
| Professional Enrollment ID | I20060316000443 |
| Full Name | Russell P Maggio |
| Organization Legal Name | LATTIMORE PRIMARY CARE MEDICINE PLLC |
| Address |
560 White Spruce Blvd Rochester NY 14623-1613 |
| Phone Number | 5852715275 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800020793 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 560 White Spruce Blvd, Rochester, NY 14623-1613 | 5852715275 | LATTIMORE PRIMARY CARE MEDICINE PLLC |
| Organization Legal Name | LATTIMORE PRIMARY CARE MEDICINE PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Kessel | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Hillary A Mcconnell | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Scott D Taylor | Physician Assistant | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Kelly Jo Gursslin | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Street Address |
560 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip | 14623-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Kessel | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Hillary A Mcconnell | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Scott D Taylor | Physician Assistant | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Kelly Jo Gursslin | Nurse Practitioner | Lattimore Primary Care Medicine Pllc | 560 White Spruce Blvd, Rochester, NY 14623-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander R Paciorkowski | Neurology | University of Rochester | 200 E River Rd, Rochester, NY 14623-1212 |
| John M Sciortino | Chiropractic | Brighton Campus Chiropractors LLC | 2024 W Henrietta Rd, 5b, Rochester, NY 14623-1360 |
| Louis S Catapano | Chiropractic | Brighton Campus Chiropractors LLC | 2024 W Henrietta Rd, 5b, Rochester, NY 14623-1360 |
| Ted D Barnett | Diagnostic Radiology | Rochester Lifestyle Medicine Pllc | 2024 W Henrietta Rd, Suite 5a, Rochester, NY 14623-1360 |
| Emmanuel S Akowuah | Internal Medicine | 2024 W Henrietta Rd, 6b Brighton Campus Park, Rochester, NY 14623-1361 | |
| Christine C Borghi Cavallaro | Family Medicine | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Laura J Booth | Family Medicine | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Jerold A Desimone | Physician Assistant | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Martha M Howden | Clinical Social Worker | 945 E Henrietta Rd, Suite 6, Rochester, NY 14623-1419 | |
| Joy A Hofbauer | Clinical Social Worker | 945 E Henrietta Rd, Suite A 7, Rochester, NY 14623-1419 | |
| Find all physicians in zip 14623 | |||
| City | ROCHESTER |
| Zip Code | 14623 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Russell P Maggio.
| 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.