| Mobile Physician Services PLLC | |
|
40 La Riviere Dr Ste 201 Buffalo NY 14202-4036 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Mobile Physician Services PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 40 La Riviere Dr Ste 201, Buffalo, New York |
| Authorized Official Name and Position | Nicole Howard (SVP OF ADMIN SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Physician Services PLLC 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 991-9276 | Mobile Physician Services PLLC 40 La Riviere Dr Ste 201 Buffalo NY 14202-4036 Ph: (337) 991-9276 |
| NPI Number | 1194132415 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Medicare PECOS PAC ID | 8325360290 |
|---|---|
| Medicare Enrollment ID | O20141203001681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194132415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 134888 (New York) | Primary |
| Provider Name | Lynne a Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487614988 PECOS PAC ID: 5991601932 Enrollment ID: I20031210000318 |
| Provider Name | Eileen B Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871586420 PECOS PAC ID: 9335042159 Enrollment ID: I20040129000661 |
| Provider Name | Cory J Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578526240 PECOS PAC ID: 8820984123 Enrollment ID: I20040224000879 |
| Provider Name | Christine Herrmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962462424 PECOS PAC ID: 3375439565 Enrollment ID: I20040225000144 |
| Provider Name | Mary Christine Uebbing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730136805 PECOS PAC ID: 0941197099 Enrollment ID: I20040303000053 |
| Provider Name | Diane I Legendre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003807736 PECOS PAC ID: 2567446370 Enrollment ID: I20040617000666 |
| Provider Name | Patrick a Siaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922039213 PECOS PAC ID: 1355329996 Enrollment ID: I20040710000232 |
| Provider Name | Mary C Bracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505099 PECOS PAC ID: 8820068265 Enrollment ID: I20040730001125 |
| Provider Name | Jeffery T Facer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174599161 PECOS PAC ID: 9830163138 Enrollment ID: I20040823001047 |
| Provider Name | Daniel L Woolston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982719985 PECOS PAC ID: 3577532589 Enrollment ID: I20040927001039 |
| Provider Name | Kara Anne Woods |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831195395 PECOS PAC ID: 3274595525 Enrollment ID: I20041029000610 |
| Provider Name | Jyotsna Rajeswary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639141633 PECOS PAC ID: 2365405321 Enrollment ID: I20041110000587 |
| Provider Name | Adrienne F Dykeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497853790 PECOS PAC ID: 6204891252 Enrollment ID: I20041201000506 |
| Provider Name | John M Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568454528 PECOS PAC ID: 4981659703 Enrollment ID: I20050315000428 |
| Provider Name | Jeffrey D Amidon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457492688 PECOS PAC ID: 7416902713 Enrollment ID: I20050321000144 |
| Provider Name | Heather J Cook Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255362794 PECOS PAC ID: 5890734370 Enrollment ID: I20050426000296 |
| Provider Name | Trish Bellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659377885 PECOS PAC ID: 4587604095 Enrollment ID: I20050504000546 |
| Provider Name | Jeremy Bellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124179197 PECOS PAC ID: 3779527924 Enrollment ID: I20050617000621 |
| Provider Name | Charles W Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134112691 PECOS PAC ID: 0244275758 Enrollment ID: I20050624000779 |
| Provider Name | James S Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104819200 PECOS PAC ID: 0446141394 Enrollment ID: I20050629000196 |
| Provider Name | Michael J Brodowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902896012 PECOS PAC ID: 7618956632 Enrollment ID: I20050920000929 |
| Provider Name | Tammy Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023137551 PECOS PAC ID: 5698790962 Enrollment ID: I20051006000384 |
| Provider Name | Barbara L Jeffers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770584138 PECOS PAC ID: 4981626371 Enrollment ID: I20051229000128 |
| Provider Name | Jana Dosztan Reiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629125976 PECOS PAC ID: 0749296879 Enrollment ID: I20060228000590 |
| Provider Name | Carolyn a Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720053416 PECOS PAC ID: 0749296358 Enrollment ID: I20060306000396 |
| Provider Name | Judith a Balch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417038076 PECOS PAC ID: 4688682859 Enrollment ID: I20060330000183 |
| Provider Name | Edward J Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649245812 PECOS PAC ID: 4082622428 Enrollment ID: I20060403000028 |
| Provider Name | Brian D Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437148087 PECOS PAC ID: 7517870702 Enrollment ID: I20061002000333 |
| Provider Name | Teresa Chau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841286747 PECOS PAC ID: 3678469954 Enrollment ID: I20061002000361 |
| Provider Name | Christopher Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404982 PECOS PAC ID: 2668577974 Enrollment ID: I20070416000286 |
| Provider Name | Cheryl Zachewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346308475 PECOS PAC ID: 1254438880 Enrollment ID: I20070516000359 |
| Provider Name | Amy L Perno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376722447 PECOS PAC ID: 4082704671 Enrollment ID: I20071219000758 |
| Provider Name | Lisa M Ricotta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477736932 PECOS PAC ID: 9436232410 Enrollment ID: I20080214000101 |
| Provider Name | Lorraine C Narby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316122674 PECOS PAC ID: 9436238235 Enrollment ID: I20080506000031 |
| Provider Name | Christine Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568646909 PECOS PAC ID: 9335218544 Enrollment ID: I20080514000311 |
| Provider Name | Christopher D Bieniek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407006901 PECOS PAC ID: 7810059623 Enrollment ID: I20090102000114 |
| Provider Name | Jamie Charlise Marie Interlichia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124278841 PECOS PAC ID: 7416013263 Enrollment ID: I20090304000166 |
| Provider Name | Christina M Hamlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114169596 PECOS PAC ID: 3577614528 Enrollment ID: I20090702000231 |
| Provider Name | Katherine Carletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922234582 PECOS PAC ID: 5395882336 Enrollment ID: I20091026000015 |
| Provider Name | Amanda R Cataldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619103033 PECOS PAC ID: 6800934084 Enrollment ID: I20091109000237 |
| Provider Name | Randy Czternastek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922239086 PECOS PAC ID: 6002962800 Enrollment ID: I20091210000459 |
| Provider Name | Marilyn D Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437108560 PECOS PAC ID: 6507991593 Enrollment ID: I20100316000559 |
| Provider Name | Rozy Nelofar Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295492 PECOS PAC ID: 7113092339 Enrollment ID: I20100503000026 |
| Provider Name | Jessica M Skutnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871818732 PECOS PAC ID: 6608905757 Enrollment ID: I20100527000452 |
| Provider Name | Stephanie Ann Wodowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083877930 PECOS PAC ID: 3375676307 Enrollment ID: I20100814000040 |
| Provider Name | Cele Sarai Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932385069 PECOS PAC ID: 0143354506 Enrollment ID: I20100820000311 |
| Provider Name | David J Farrugia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891998563 PECOS PAC ID: 3476747718 Enrollment ID: I20101101001050 |
| Provider Name | Beth M Pannell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982876470 PECOS PAC ID: 6406035674 Enrollment ID: I20110120000921 |
| Provider Name | Cynthia Ann Skalyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467494740 PECOS PAC ID: 6204018104 Enrollment ID: I20110315000074 |
| Provider Name | Jialin S Nah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336334457 PECOS PAC ID: 8921283672 Enrollment ID: I20110425000304 |
| Provider Name | Mary a Rykert Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023012853 PECOS PAC ID: 1153509153 Enrollment ID: I20110622000116 |
| Provider Name | Dawn K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254848 PECOS PAC ID: 4880872449 Enrollment ID: I20110629000760 |
| Provider Name | Randy L Huntington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376837708 PECOS PAC ID: 3870761521 Enrollment ID: I20110722000602 |
| Provider Name | Jennifer M Heaven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356634539 PECOS PAC ID: 1759551153 Enrollment ID: I20110823000009 |
| Provider Name | Jennifer Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861623092 PECOS PAC ID: 6204008618 Enrollment ID: I20111007000030 |
| Provider Name | Cynthia J Rowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740274752 PECOS PAC ID: 7911164298 Enrollment ID: I20120130000684 |
| Provider Name | Virginia M Kaufman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073878526 PECOS PAC ID: 9638326499 Enrollment ID: I20120829000729 |
| Provider Name | Nedzada Seho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881944676 PECOS PAC ID: 4587814884 Enrollment ID: I20121023000178 |
| Provider Name | Matthew J Gianetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205184512 PECOS PAC ID: 8123270261 Enrollment ID: I20121218000348 |
| Provider Name | Kelley E Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376855114 PECOS PAC ID: 4183858376 Enrollment ID: I20131001000091 |
| Provider Name | Jerzy M Rogowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144561721 PECOS PAC ID: 8022242262 Enrollment ID: I20131002000034 |
| Provider Name | Judith Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699107011 PECOS PAC ID: 6608002548 Enrollment ID: I20131122001263 |
| Provider Name | Sherry Lyn Wheelock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437120 PECOS PAC ID: 5991931503 Enrollment ID: I20131203001377 |
| Provider Name | Laura Spyche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760511034 PECOS PAC ID: 6800028622 Enrollment ID: I20140410000226 |
| Provider Name | Marcie Kay Barbato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518007780 PECOS PAC ID: 1951524131 Enrollment ID: I20140515000067 |
| Provider Name | Jacqueline a Klein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972903953 PECOS PAC ID: 3072836030 Enrollment ID: I20141223001055 |
| Provider Name | Mary G Distefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328968 PECOS PAC ID: 1153645650 Enrollment ID: I20150109000788 |
| Provider Name | Steven Buslovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407172323 PECOS PAC ID: 7416172903 Enrollment ID: I20150303000034 |
| Provider Name | Maria Francati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306959630 PECOS PAC ID: 9931428448 Enrollment ID: I20150505002227 |
| Provider Name | Jenifer C Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497059943 PECOS PAC ID: 9436304748 Enrollment ID: I20150724011035 |
| Provider Name | Hollie Bojarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467850735 PECOS PAC ID: 1951615517 Enrollment ID: I20150728003283 |
| Provider Name | Allette Mcpherson-cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386952323 PECOS PAC ID: 4587979794 Enrollment ID: I20150818003794 |
| Provider Name | Kristen Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100677 PECOS PAC ID: 0143520171 Enrollment ID: I20151124001269 |
| Provider Name | Alie R Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164882064 PECOS PAC ID: 0648569194 Enrollment ID: I20160523001591 |
| Provider Name | Joshua L Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396190450 PECOS PAC ID: 0042503500 Enrollment ID: I20160721002006 |
| Provider Name | Margaret Ziobro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609244433 PECOS PAC ID: 5294013629 Enrollment ID: I20161104001611 |
| Provider Name | Yoel Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427492073 PECOS PAC ID: 1052555380 Enrollment ID: I20170220000712 |
| Provider Name | Justin D Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043763576 PECOS PAC ID: 8022385327 Enrollment ID: I20171010003048 |
| Provider Name | Renee Pomatto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700316437 PECOS PAC ID: 0840565297 Enrollment ID: I20171011000528 |
| Provider Name | Stacy a Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487170882 PECOS PAC ID: 3375800675 Enrollment ID: I20171121002260 |
| Provider Name | Tania Lawniczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952588873 PECOS PAC ID: 6002190238 Enrollment ID: I20171221001636 |
| Provider Name | Danielle Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255731626 PECOS PAC ID: 7517187669 Enrollment ID: I20180514001057 |
| Provider Name | Dacia a Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215324181 PECOS PAC ID: 1254686728 Enrollment ID: I20180625002293 |
| Provider Name | Michael S Fraser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205220985 PECOS PAC ID: 2961758149 Enrollment ID: I20180629001986 |
| Provider Name | Heidie Elizabeth Nobles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639665037 PECOS PAC ID: 4789932294 Enrollment ID: I20180731002025 |
| Provider Name | Michael Angelo Labuzetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457734568 PECOS PAC ID: 5294083465 Enrollment ID: I20180803001143 |
| Provider Name | Emily Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194201913 PECOS PAC ID: 1052660958 Enrollment ID: I20180827002257 |
| Provider Name | Anastasja E Ketch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518450220 PECOS PAC ID: 6103176656 Enrollment ID: I20180905001222 |
| Provider Name | Valentyna Oleksyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163790 PECOS PAC ID: 5092068494 Enrollment ID: I20181101002176 |
| Provider Name | Rebecca E Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871073882 PECOS PAC ID: 1254679624 Enrollment ID: I20190208002629 |
| Provider Name | Corey Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891266102 PECOS PAC ID: 2264773159 Enrollment ID: I20190402001266 |
| Provider Name | Rachel Pughsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841602919 PECOS PAC ID: 5092930339 Enrollment ID: I20190607001942 |
| Provider Name | Carrin Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992357313 PECOS PAC ID: 5294064150 Enrollment ID: I20190903001526 |
| Provider Name | Kate S Larrabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163101 PECOS PAC ID: 5890127096 Enrollment ID: I20191108001078 |
| Provider Name | Marquita Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285275768 PECOS PAC ID: 9830521616 Enrollment ID: I20191115002205 |
| Provider Name | Michael H Kueker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013414986 PECOS PAC ID: 2860739257 Enrollment ID: I20200228000863 |
| Provider Name | Pamela a Rizkalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891131124 PECOS PAC ID: 9931495223 Enrollment ID: I20200422000996 |
| Provider Name | Jesse Rizkalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023377579 PECOS PAC ID: 2264741164 Enrollment ID: I20200505002193 |
| Provider Name | Lindsay Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760311 PECOS PAC ID: 3274952262 Enrollment ID: I20200924000564 |
| Provider Name | Frank Kolovrat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205037918 PECOS PAC ID: 9436430972 Enrollment ID: I20201001001640 |
| Provider Name | Brenna Marie Wheelock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942804547 PECOS PAC ID: 1557774205 Enrollment ID: I20210119002142 |
| Provider Name | Ashley Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153791 PECOS PAC ID: 6103231725 Enrollment ID: I20210212000410 |
| Provider Name | Maureen E Dick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093306227 PECOS PAC ID: 3476969429 Enrollment ID: I20210317000780 |
| Provider Name | Ann E Grimaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104409788 PECOS PAC ID: 4082013735 Enrollment ID: I20210528001311 |
| Provider Name | Cassandra Squirrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346816949 PECOS PAC ID: 9638576630 Enrollment ID: I20210917000658 |
| Provider Name | Erin Elizabeth Dabney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548911357 PECOS PAC ID: 1153716600 Enrollment ID: I20220318001138 |
| Provider Name | Morgan Elizabeth Revinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130748 PECOS PAC ID: 2860887049 Enrollment ID: I20220325000620 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20220425000093 |
| Provider Name | Handeep Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043968654 PECOS PAC ID: 0345617361 Enrollment ID: I20221104000585 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230515001148 |
| Provider Name | Stanley B Clifton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811341878 PECOS PAC ID: 4082900659 Enrollment ID: I20230808000581 |
| Provider Name | Margaret Graff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134571110 PECOS PAC ID: 1254616725 Enrollment ID: I20231005002521 |
| Provider Name | Rosmany G Zerquera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053196618 PECOS PAC ID: 0648626523 Enrollment ID: I20231030000306 |
| Provider Name | Kelly Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326710880 PECOS PAC ID: 2365890795 Enrollment ID: I20231127000728 |
| Provider Name | Kimberly Roaldi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841940970 PECOS PAC ID: 9436507696 Enrollment ID: I20231128002958 |
| Provider Name | Joelle M Kozierowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722770 PECOS PAC ID: 4688022494 Enrollment ID: I20231204002515 |
| Provider Name | Alina Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851164461 PECOS PAC ID: 2961851332 Enrollment ID: I20231211001283 |
| Provider Name | Daniella Andrea Sawma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295490282 PECOS PAC ID: 5092159988 Enrollment ID: I20240219003718 |
| Provider Name | Mojgan Javadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972820900 PECOS PAC ID: 4284049289 Enrollment ID: I20240521001736 |
| Provider Name | Johnny Mei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790808095 PECOS PAC ID: 3870682958 Enrollment ID: I20240716001831 |
| Provider Name | Xiaotong Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578315230 PECOS PAC ID: 5395285696 Enrollment ID: I20240913000754 |
| Provider Name | Dorshey Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154909752 PECOS PAC ID: 2163963315 Enrollment ID: I20240916002395 |
| Provider Name | Abigail Gwise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770224198 PECOS PAC ID: 4688108251 Enrollment ID: I20241106000250 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20241218002854 |
| Provider Name | Deneen D Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467298794 PECOS PAC ID: 4981126380 Enrollment ID: I20250314001136 |
| Provider Name | Jenni Crossley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700393816 PECOS PAC ID: 3870853716 Enrollment ID: I20250401001722 |
| Provider Name | Ashley Huening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215824727 PECOS PAC ID: 0446763684 Enrollment ID: I20250701000448 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20250723003882 |
| Provider Name | Karen L Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124721246 PECOS PAC ID: 5496118879 Enrollment ID: I20250808001221 |
| Provider Name | Tiffany Huening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518853860 PECOS PAC ID: 3678073327 Enrollment ID: I20250826002957 |
| Provider Name | Jenna Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073391926 PECOS PAC ID: 8123478906 Enrollment ID: I20260106003223 |
| Provider Name | Jennifer Sara Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730070657 PECOS PAC ID: 7618454851 Enrollment ID: I20260120001943 |
| Provider Name | Jonathan Snipes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20260120002464 |
| Provider Name | Elizabeth Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811761778 PECOS PAC ID: 2860929775 Enrollment ID: I20260203003476 |
| Provider Name | Ainsly Manning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851362537 PECOS PAC ID: 4385627314 Enrollment ID: I20260205002042 |
| Provider Name | Crystal Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228678 PECOS PAC ID: 1254761752 Enrollment ID: I20260303002223 |
| Provider Name | Tammie Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952026981 PECOS PAC ID: 9931564929 Enrollment ID: I20260406001151 |
| Provider Name | Paul Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396458543 PECOS PAC ID: 2567833064 Enrollment ID: I20260406001831 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20260415000981 |
| Provider Name | Christina Lostracco-stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225901549 PECOS PAC ID: 8628544632 Enrollment ID: I20260417000295 |
| Provider Name | Timothy Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235458092 PECOS PAC ID: 8729261557 Enrollment ID: I20260508001375 |
| Provider Name | Roberta Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809323 PECOS PAC ID: 4082952072 Enrollment ID: I20260527003063 |
| Provider Name | Bryanna Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851134027 PECOS PAC ID: 1850821224 Enrollment ID: I20260608003671 |
| Provider Name | Leah Arcuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659747814 PECOS PAC ID: 9234427535 Enrollment ID: I20260611002516 |
| Provider Name | Rikki Lea Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598154395 PECOS PAC ID: 5092287722 Enrollment ID: I20260615000588 |
Buffalo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 S Park Ave Ste B, Buffalo, NY 14218 Phone: 716-348-9042 |
Buffalo Medical Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 |
Jeremiah O Sullivan MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 |
Winston G Douglas MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 |