| Max John Roehmholdt, MD | |
|
3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 | |
| (716) 844-5000 | |
| (716) 844-5750 |
| Full Name | Max John Roehmholdt |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 3085 Harlem Rd Ste 200, Cheektowaga, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255892550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 328548 (New York) | Primary |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Entity Name | Erie County Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
| Entity Name | Great Lakes Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
| Mailing Address | Practice Location Address |
|---|---|
| Max John Roehmholdt, MD 3085 Harlem Rd Ste 350, Cheektowaga, NY 14225-2591 Ph: (716) 844-5600 | Max John Roehmholdt, MD 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 Ph: (716) 844-5000 |
Gina Nicole Tundo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Karl-dietrich Max Gustav Sievert, Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Dr. John Joseph Bodkin Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Brian F Dinerman, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Kevin J Barlog, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Dr. K Kent Chevli, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 |