Individual
DR. KEVIN S. MCGRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
218936
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
218936
NY
207UN0901X
Nuclear Cardiology Physician
218936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002532476
UNITED HEALTHCARE
—
01
—
000927831001
COMM. BLUE/BCBSWNY
—
01
—
000927831002
HEALTH NOW LINDEN OAKS
—
05
—
02645325
—
NY
01
—
161150309
TRICARE CHAMPUS
—
01
—
2197576
GHI
—
01
—
301139
WELLCARE
—
01
—
380144
MVP
—
01
—
6890
BCBS
—
01
—
7166670
AETNA
—
01
—
MDJ014
PREFERRED CARE
—
01
—
PO0228312
RAILROAD MEDICARE
—
01
—
PO10218936
EXCELLUS
—
01
—
RC60218936
RCIPA
—
Enumeration date
03/08/2006
Last updated
07/05/2023
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