EDITH GRANNUM MD PC – NPI #1104003235
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EDITH GRANNUM MD PC is a provider located in ROCHESTER, NY. NPPES has assigned the NPI number 1104003235 to EDITH GRANNUM MD PC on January 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Mar 19, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDITH GRANNUM MD PC below.

NPI Profile for
EDITH GRANNUM MD PC

NPI Number
1104003235
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDITH GRANNUM MD PC
Primary location
1815 S CLINTON AVE
ROCHESTER, NY 14618-5720
Phone: (585) 233-1366 Fax:
Mailing address
PO BOX 18545
ROCHESTER, NY 14618-8545
Phone: (585) 233-1366 Fax:
Organization Subpart
No
Authorized Official
EDITH GRANNUM
MEDICAL DIRECTOR
Phone: (585) 233-1366
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 210929

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.