| Joseph L. Maddi, Physician, P.c. | |
|
4225 Maple Rd Amherst NY 14226-1039 | |
| (716) 834-0281 | |
| (716) 834-0222 |
| Full Name | Joseph L. Maddi, Physician, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4225 Maple Rd, Amherst, New York |
| Authorized Official Name and Position | Joseph L Maddi (OWNER) |
| Authorized Official Contact | 7166340281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L. Maddi, Physician, P.c. 4225 Maple Rd Amherst NY 14226-1039 Ph: (716) 834-0221 | Joseph L. Maddi, Physician, P.c. 4225 Maple Rd Amherst NY 14226-1039 Ph: (716) 834-0281 |
| NPI Number | 1073795217 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 05/28/2010 |
| Medicare PECOS PAC ID | 5890876718 |
|---|---|
| Medicare Enrollment ID | O20080117000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073795217 | NPI | - | NPPES |
| GRP512183005 | Other | NY | BLUE CROSS BLUE SHIELD |
| 00010108705 | Other | NY | UNIVERA |
| 2107103 | Other | NY | INDEPENDENT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 149577-1 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 149577-1 (New York) | Primary |
| Provider Name | Thomas F Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Amy Lynn Baun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851469191 PECOS PAC ID: 6608974902 Enrollment ID: I20070611000453 |
| Provider Name | Joseph L. Maddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992761266 PECOS PAC ID: 3678557386 Enrollment ID: I20080117000196 |
| Provider Name | Suzanne K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063668457 PECOS PAC ID: 2961557020 Enrollment ID: I20090826000353 |
| Provider Name | Jerome M Rutowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780996769 PECOS PAC ID: 3971791567 Enrollment ID: I20101227000158 |
| Provider Name | Nicole M Wanser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089581 PECOS PAC ID: 4284957101 Enrollment ID: I20141230001249 |
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