Dr. Gregory Daniel brings a unique mix of skill, experience, and knowledge to the role of Exigence CEO. In addition to more than 20 years of experience as an emergency medicine physician, Dr. Daniel also has a keen business sense fostered with both real-life experience and an MBA degree. It is the combination of those skills that built the successful model that is Exigence.

Since he founded the organization in 2000, Dr. Daniel has used this model to provide a vision for the growth of the company. Dr. Daniel has personally directed a number of development efforts including successful contract negotiations with HMOs, establishment and implementation of operational policies and procedures, and the design and implementation of a partnership tract for Exigence professionals.

During the evolution of these efforts, continuous improvements to the company’s financial operations and physician and staff performance have blossomed. He has introduced numerous innovations and efficiencies, including identifying strategic expansion opportunities and the introduction of incentive structures with specific criteria for attainment and measurement.

With Dr. Daniel’s guidance, Exigence has expanded its footprint, further enhanced its reputation, and is known for strong management and fiscal responsibility. With attention to detail and an eye on the future, he has stressed the importance of innovation within the company to meet emerging client needs. The Buffalo Niagara Partnership honored Exigence and Dr. Daniel with their New Minority Business of the Year Award in 2006.

Dr. Daniel earned his doctorate of medicine and a bachelor’s degree in biochemistry from the University of Wisconsin, Madison, and is licensed to practice medicine in eight states. He earned his MBA from the University of California, Irvine, and was named “Best Leader” for his class. Dr. Daniel received the 2005 Business Leadership Buffalo Niagara award.

He is a member of the board of governors for the Catholic Independent Practice Association (IPA) of Western New York, where he serves on the negotiation and compensation and utilization committees. He’s held roles in the past with the U.S. Air Force Reserves and the U.S. Amateur Boxing Federation.

Making the connection between administration and the clinical aspects of our organization is where Dr. Frank Lee, our vice president of medical affairs, excels. Providing oversight of all clinical aspects within Exigence makes him a key figure in helping shape our future direction.

Dr. Lee quickly made a name for himself both within and outside of our organization. He was named a full general partner in 2002; three years later, as an Exigence regional director, he provided clinical and administrative expertise for our western region connections. He was named vice president in 2006.

He excels at identifying process improvement opportunities, analysis of processes, and has thorough knowledge in the implementation of electronic medical records systems.

Board certified in emergency medicine, Dr. Lee was named chair of the emergency department at St. Joseph Hospital in 2002, a position he maintains today. He spearheaded an initiative at St. Joseph’s called Project Renaissance, which has been met with high praise in the medical community. It featured the implementation of a new electronic medical records system, the first for a private ER in the region. He also led the design of the hospital’s new emergency department, which won several design element awards. The success of that effort has been measured in improvements in the patient length of stay, patient satisfaction, and increased volume.

St. Joseph Hospital recently honored Dr. Lee with the Caritas Award that recognizes outstanding service and dedication along with support to the community. He also serves on the hospital foundation’s board of directors.

Dr. Lee is a frequent lecturer to medical staffs and organizations on a range of topics related to emergency medicine. He is also certified in ultrasound. Dr. Lee continues to practice emergency medicine at St. Joseph Hospital, Mercy Hospital, Sisters of Charity Hospital, and urgent care facilities. He is also an assistant clinical professor.

He completed his residency at the University at Buffalo’s School of Medicine, earning his medical doctorate along with a bachelor’s degree in biological sciences from the University at Buffalo.

For nearly 20 years, Dr. Janet Williams has provided expert clinical care in a variety of emergency and urgent care settings, both hospital-affiliated and free-standing, in urban and rural areas.

As an attending physician and faculty member in emergency departments and medical schools in Pennsylvania, West Virginia and New York, Dr. Williams has taught residents, physician assistants, and nurse practitioners in clinical emergency medicine and is an acknowledged national leader in the management and provision of clinical care. She is an accomplished clinician as well as a true advocate for patient satisfaction.

Joining Rochester Immediate Care in February of 2010, Dr. Williams oversees all medical care at the new Rochester Immediate Care facility on West Ridge Road in Greece, NY.

Dr. Williams is certified as a Diplomate of the American Board of Emergency Medicine and is an active member of a number of national professional organizations including the American Academy of Urgent Care Medicine.

A Rochester native, Dr. Williams earned her bachelor’s degree in mathematics at Bucknell University in 1984 and her medical degree at the University of Buffalo School of Medicine in 1988. She completed a residency in emergency medicine, including tenure as chief resident, at Allegheny General Hospital in Pittsburgh, PA in 1991.

Following residency, Dr. Williams served as an attending physician in emergency departments at Allegheny General Hospital (1991-1992); Ruby Memorial Hospital, Morgantown, WV (1992-2003); and Strong Memorial Hospital, Rochester, NY (2003 – present).

Her current academic appointment is Professor of Emergency Medicine at the University of Rochester School of Medicine and Dentistry. Previous academic appointments were at West Virginia University, Alderson-Broaddus College, and the Medical College of Pennsylvania.

Pam Sullivan, M.D., is a well known emergency medicine physician who has practiced at Rochester General Hospital and Highland Hospital since 1993. She is board certified in internal medicine and with certifications in pediatric advanced life support, advanced trauma life support and advanced cardiac life support.

A New York City native, Dr. Sullivan earned a bachelor’s degree in physical therapy at Ithaca College and her medical degree at the Medical College of Philadelphia; she served an internship and residency in primary care internal medicine at the University of Rochester School of Medicine and Dentistry. While employed by the medical school, she held an academic appointment as senior instructor of clinical emergency medicine.

Dr. Sullivan is a Fellow of the American College of Physicians and serves as a council member and as chair of the membership committee of the New York ACP.

Joseph Coluccelli joined our organization in August 2011, and he is Site Administrator for our Webster location. Coluccelli is responsible for day-to-day operations, leadership of clinical and clerical staff in addition to patient satisfaction at the urgent care center.

Prior to joining Rochester Immediate Care, Coluccelli was a Case Manager for Rochester Home Care where he was responsible for the overall plan and outcome of nursing staff. Previously he was Emergency Department Clinical Nurse Leader at Rochester General Hospital. Coluccelli holds a Bachelor of Science degree in Nursing as well as a Bachelor of Arts degree in Political Science from St. John Fisher College.