| Upmc Chautauqua At Wca | |
|
207 Foote Ave Jamestown NY 14701-7077 | |
| (716) 487-0141 | |
| Not Available |
| Full Name | Upmc Chautauqua At Wca |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 207 Foote Ave, Jamestown, New York |
| Authorized Official Name and Position | Bradley Nelson Dinger (CFO) |
| Authorized Official Contact | 8148773739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Chautauqua At Wca 207 Foote Ave Jamestown NY 14701-7077 Ph: (716) 487-0141 | Upmc Chautauqua At Wca 207 Foote Ave Jamestown NY 14701-7077 Ph: (716) 487-0141 |
| NPI Number | 1295033298 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 4385630342 |
|---|---|
| Medicare Enrollment ID | O20040423000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295033298 | NPI | - | NPPES |
| 03352389 | Medicaid | NY |
| Provider Name | David S Dinhofer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770576589 PECOS PAC ID: 3971599226 Enrollment ID: I20040422000155 |
| Provider Name | Anthony Tuccio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922086404 PECOS PAC ID: 0345238374 Enrollment ID: I20040506000173 |
| Provider Name | Jane Testa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477599165 PECOS PAC ID: 4183608433 Enrollment ID: I20040615001255 |
| Provider Name | Frederick W Verdonik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942291968 PECOS PAC ID: 9133172539 Enrollment ID: I20050225000267 |
| Provider Name | Mandeep K Brar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619992203 PECOS PAC ID: 4183679087 Enrollment ID: I20050314000681 |
| Provider Name | Brooke K Kelly |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558313999 PECOS PAC ID: 5799721916 Enrollment ID: I20050701000145 |
| Provider Name | Stephen M Laskowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639145675 PECOS PAC ID: 9830125814 Enrollment ID: I20050712000023 |
| Provider Name | Danko Vidovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255420030 PECOS PAC ID: 7416944301 Enrollment ID: I20060315000172 |
| Provider Name | Lyndon S Gritters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841287927 PECOS PAC ID: 1052306941 Enrollment ID: I20060508000767 |
| Provider Name | Craig M Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962489708 PECOS PAC ID: 9234142977 Enrollment ID: I20060724000166 |
| Provider Name | Israr A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20070420000344 |
| Provider Name | Anthony Mangano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447216924 PECOS PAC ID: 4082711213 Enrollment ID: I20070522000465 |
| Provider Name | Bruce Howard Rockwell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952398935 PECOS PAC ID: 2062594302 Enrollment ID: I20080411000192 |
| Provider Name | Walter H Warriner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215911979 PECOS PAC ID: 8426120619 Enrollment ID: I20080703000159 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Galo Alexander Grijalva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629157649 PECOS PAC ID: 7719914837 Enrollment ID: I20090601000141 |
| Provider Name | Thomas J Andrews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750342424 PECOS PAC ID: 7517958754 Enrollment ID: I20100309000008 |
| Provider Name | Monir A Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740334267 PECOS PAC ID: 8527144112 Enrollment ID: I20100828000000 |
| Provider Name | Kristine E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669653952 PECOS PAC ID: 4880876929 Enrollment ID: I20110310000122 |
| Provider Name | Annette V Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699718031 PECOS PAC ID: 1254344658 Enrollment ID: I20110322000091 |
| Provider Name | Shahnawaz Meer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261080 PECOS PAC ID: 1254501059 Enrollment ID: I20110906000440 |
| Provider Name | Rajan A Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538425939 PECOS PAC ID: 6608001375 Enrollment ID: I20131105001290 |
| Provider Name | Andrea H Walsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588977359 PECOS PAC ID: 2365678919 Enrollment ID: I20131204000602 |
| Provider Name | Pujan Shrestha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407112105 PECOS PAC ID: 7113249269 Enrollment ID: I20141201001509 |
| Provider Name | Traci Raynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336534767 PECOS PAC ID: 2062712250 Enrollment ID: I20151119000832 |
| Provider Name | Mahyar Ghanaat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013234368 PECOS PAC ID: 1254613557 Enrollment ID: I20170123000009 |
| Provider Name | Adelia A Sazonov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871930701 PECOS PAC ID: 3678843885 Enrollment ID: I20170720002598 |
| Provider Name | Nabeela K Patail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002782 PECOS PAC ID: 5294008801 Enrollment ID: I20170901002023 |
| Provider Name | Julie A Apperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659530962 PECOS PAC ID: 5799045563 Enrollment ID: I20180216001260 |
| Provider Name | Amir Salem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326487513 PECOS PAC ID: 8325303787 Enrollment ID: I20180606000487 |
| Provider Name | Ellen Elizabeth Dailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649224957 PECOS PAC ID: 7810185501 Enrollment ID: I20190820001648 |
| Provider Name | Elizabeth N Wise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619078136 PECOS PAC ID: 9133284458 Enrollment ID: I20190820002605 |
| Provider Name | Michael A Scutella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487606554 PECOS PAC ID: 3476452954 Enrollment ID: I20191003002823 |
| Provider Name | Zulfiqar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346444635 PECOS PAC ID: 8123164969 Enrollment ID: I20191029000821 |
| Provider Name | Jan M Rothman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639176027 PECOS PAC ID: 2163486150 Enrollment ID: I20191106001830 |
| Provider Name | David Seastone |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629211982 PECOS PAC ID: 5597989418 Enrollment ID: I20191206000142 |
| Provider Name | Casey T Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255964268 PECOS PAC ID: 2466873336 Enrollment ID: I20200601001631 |
| Provider Name | Rohit Gosain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932515210 PECOS PAC ID: 1456578459 Enrollment ID: I20200615000444 |
| Provider Name | Ainsley D Mcfadgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194170019 PECOS PAC ID: 2769726827 Enrollment ID: I20200915001505 |
| Provider Name | Rachel E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780299495 PECOS PAC ID: 8224457684 Enrollment ID: I20201217000512 |
| Provider Name | James P Ohr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306860085 PECOS PAC ID: 4183647878 Enrollment ID: I20210118000429 |
| Provider Name | Sara A Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154611291 PECOS PAC ID: 8628381464 Enrollment ID: I20220117000383 |
| Provider Name | Cassandra Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750967709 PECOS PAC ID: 9537547195 Enrollment ID: I20220609002851 |
| Provider Name | Spenser A Soldano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558858084 PECOS PAC ID: 9234537978 Enrollment ID: I20220713000759 |
| Provider Name | Carmen M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568871598 PECOS PAC ID: 8527287051 Enrollment ID: I20230131000186 |
| Provider Name | Joanna A Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134173974 PECOS PAC ID: 2062463805 Enrollment ID: I20231202000025 |
| Provider Name | Bilal Qazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659725521 PECOS PAC ID: 4880043348 Enrollment ID: I20231208001204 |
| Provider Name | Christopher G Eckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104880988 PECOS PAC ID: 9830162114 Enrollment ID: I20231213000471 |
| Provider Name | Dana R Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780825984 PECOS PAC ID: 4183758014 Enrollment ID: I20240514001336 |
| Provider Name | Visaharan Sivasubramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902801921 PECOS PAC ID: 8123913159 Enrollment ID: I20240618000058 |
| Provider Name | Janna R Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922782283 PECOS PAC ID: 7012362205 Enrollment ID: I20240813002248 |
| Provider Name | Carlie J Soldano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497573018 PECOS PAC ID: 1355863267 Enrollment ID: I20250320001877 |
Urban Mental Health Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 779 Fairmount Ave, Jamestown, NY 14701 Phone: 716-205-0325 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY 14701 Phone: 716-664-8640 Fax: 716-664-8607 | |
Sali Honess-ondrey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Canterbury Rd, Jamestown, NY 14701 Phone: 716-487-1198 | |
Satish K Mongia Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Ave, Jamestown, NY 14701 Phone: 716-487-1161 Fax: 716-487-1163 | |
Quantum Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hotel Jamestown Bldg, 110 West Third Street, Suite 404, Jamestown, NY 14701 Phone: 716-640-2378 Fax: 716-720-5880 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |