| Northtowns Medical Group, P.c. | |
|
1783 Colvin Blvd Buffalo NY 14223-1107 | |
| (716) 874-2150 | |
| (716) 874-6765 |
| Full Name | Northtowns Medical Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1783 Colvin Blvd, Buffalo, New York |
| Authorized Official Name and Position | Edward A Stehlik (PRESIDENT) |
| Authorized Official Contact | 7168742150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northtowns Medical Group, P.c. 1783 Colvin Blvd Buffalo NY 14223-1107 Ph: (716) 874-2150 | Northtowns Medical Group, P.c. 1783 Colvin Blvd Buffalo NY 14223-1107 Ph: (716) 874-2150 |
| NPI Number | 1407818289 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234142837 |
|---|---|
| Medicare Enrollment ID | O20060727000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407818289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | 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 | Edward A Stehlik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245292192 PECOS PAC ID: 3971492299 Enrollment ID: I20100623000900 |
| Provider Name | Donald E Gullickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124080056 PECOS PAC ID: 7315950912 Enrollment ID: I20110801000816 |
| Provider Name | Patricia Ann Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306195078 PECOS PAC ID: 0749434876 Enrollment ID: I20130125000165 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Sarah Emily Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326308040 PECOS PAC ID: 8628385606 Enrollment ID: I20150924000084 |
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