| Parkview Primary Care Physicians, PLLC | |
|
20 Losson Rd Suite 105 Cheektowaga NY 14227-2394 | |
| (716) 558-7727 | |
| Not Available |
| Full Name | Parkview Primary Care Physicians, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Losson Rd, Cheektowaga, New York |
| Authorized Official Name and Position | John Kavcic (PARTNER) |
| Authorized Official Contact | 7165587727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Primary Care Physicians, PLLC 20 Losson Rd Suite 105 Cheektowaga NY 14227-2394 Ph: (716) 558-7727 | Parkview Primary Care Physicians, PLLC 20 Losson Rd Suite 105 Cheektowaga NY 14227-2394 Ph: (716) 558-7727 |
| NPI Number | 1003806746 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 0244225480 |
|---|---|
| Medicare Enrollment ID | O20040417000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003806746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202290 (New York) | Secondary |
| 207R00000X | Internal Medicine | 164517 (New York) | Primary |
| Provider Name | Orville I Hendricks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700889573 PECOS PAC ID: 0941295182 Enrollment ID: I20040420001351 |
| Provider Name | Deirdre M Bastible |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821091794 PECOS PAC ID: 9931198660 Enrollment ID: I20040508000190 |
| Provider Name | John M Kavcic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992708754 PECOS PAC ID: 8224023460 Enrollment ID: I20040508000258 |
| Provider Name | Johnna Beth Hotz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265595474 PECOS PAC ID: 3072795558 Enrollment ID: I20110303000883 |
| Provider Name | Jennifer Chouchani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710285689 PECOS PAC ID: 1254515281 Enrollment ID: I20110415000028 |
| Provider Name | Heidi a Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518937903 PECOS PAC ID: 8820258239 Enrollment ID: I20120322000040 |
| Provider Name | Eric S Dibben |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518389238 PECOS PAC ID: 8628208667 Enrollment ID: I20140313000421 |
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