| Seneca Nation Of Indians | |
|
987 R C Hoag Dr Salamanca NY 14779-1365 | |
| (716) 945-5894 | |
| (716) 242-6345 |
| Full Name | Seneca Nation Of Indians |
|---|---|
| Speciality | Clinic/Center |
| Location | 987 R C Hoag Dr, Salamanca, New York |
| Authorized Official Name and Position | Shaela Maybee (CEO) |
| Authorized Official Contact | 7165325582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seneca Nation Of Indians Po Box 480 Business Office Salamanca NY 14779-0480 Ph: (716) 945-5894 | Seneca Nation Of Indians 987 R C Hoag Dr Salamanca NY 14779-1365 Ph: (716) 945-5894 |
| NPI Number | 1023033511 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 04/21/2025 |
| Medicare PECOS PAC ID | 8123920592 |
|---|---|
| Medicare Enrollment ID | O20040126000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023033511 | NPI | - | NPPES |
| 01658520 | Medicaid | NY | |
| 03108298 | Medicaid | NY | |
| 01649476 | Medicaid | NY | |
| 06177279 | Medicaid | NY | |
| 03090966 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EXEMPT (* (Not Available)) | Primary |
| Provider Name | Puneet S Chahal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386752707 PECOS PAC ID: 4688577802 Enrollment ID: I20040127000836 |
| Provider Name | Ranjan Bhayana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366407173 PECOS PAC ID: 8921081696 Enrollment ID: I20040611001398 |
| Provider Name | Sushama Kotmire Thandla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003897414 PECOS PAC ID: 1658350590 Enrollment ID: I20040715000384 |
| Provider Name | Glauco Maresca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053370742 PECOS PAC ID: 4284548868 Enrollment ID: I20040715001255 |
| Provider Name | Neal R Rzepkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487693859 PECOS PAC ID: 5496703258 Enrollment ID: I20050107000679 |
| Provider Name | Vishal Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851494769 PECOS PAC ID: 3678506516 Enrollment ID: I20050913000059 |
| Provider Name | Michael W Kalsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962475459 PECOS PAC ID: 9335173285 Enrollment ID: I20050921000224 |
| Provider Name | Ross Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255309647 PECOS PAC ID: 3274525068 Enrollment ID: I20060214000168 |
| Provider Name | Mark J Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336175215 PECOS PAC ID: 5890766919 Enrollment ID: I20071019000460 |
| Provider Name | Alexandra Wesley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063531945 PECOS PAC ID: 0840387221 Enrollment ID: I20071113000340 |
| Provider Name | Paresh Dandona |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144217621 PECOS PAC ID: 2668556903 Enrollment ID: I20080226000551 |
| Provider Name | Walter H Warriner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215911979 PECOS PAC ID: 8426120619 Enrollment ID: I20080703000159 |
| Provider Name | Thomas R Mcternan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336242387 PECOS PAC ID: 0547396392 Enrollment ID: I20100331000255 |
| Provider Name | Amy L Damiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174626170 PECOS PAC ID: 8224164082 Enrollment ID: I20100331000397 |
| Provider Name | Corinne P Krist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417258880 PECOS PAC ID: 4082885728 Enrollment ID: I20110929000067 |
| Provider Name | Jordan Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033441019 PECOS PAC ID: 9638363583 Enrollment ID: I20111102000608 |
| Provider Name | Elizabeth M Printup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609866805 PECOS PAC ID: 9931356839 Enrollment ID: I20120829000004 |
| Provider Name | Shelley D Steeprock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689921942 PECOS PAC ID: 7113174665 Enrollment ID: I20120906000013 |
| Provider Name | Tammie L Deyoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649518655 PECOS PAC ID: 7315187226 Enrollment ID: I20130717000014 |
| Provider Name | Spencer Gorsline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154648897 PECOS PAC ID: 2769616911 Enrollment ID: I20131002000146 |
| Provider Name | Vivien L. Redeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275820441 PECOS PAC ID: 5597986679 Enrollment ID: I20141015001619 |
| Provider Name | Gregory J Flaitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548210131 PECOS PAC ID: 6901794957 Enrollment ID: I20160503000029 |
| Provider Name | Allen J Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811354582 PECOS PAC ID: 5193007037 Enrollment ID: I20170130000051 |
| Provider Name | Aparna Ramchandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548694862 PECOS PAC ID: 4880960160 Enrollment ID: I20171101001705 |
| Provider Name | Amanda Maliphol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497275739 PECOS PAC ID: 7719307289 Enrollment ID: I20201022000360 |
| Provider Name | Lisa M Traina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538830799 PECOS PAC ID: 4385042605 Enrollment ID: I20211018000494 |
| Provider Name | Dana Marie Brimmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629573076 PECOS PAC ID: 8527462134 Enrollment ID: I20211110000116 |
| Provider Name | Joshua T Hutter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376567123 PECOS PAC ID: 6608171889 Enrollment ID: I20220301002144 |
| Provider Name | Sean D Wurster |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740857861 PECOS PAC ID: 0941676449 Enrollment ID: I20221025002939 |
| Provider Name | Jonathan M Sipior |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083107874 PECOS PAC ID: 2961749098 Enrollment ID: I20221116002739 |
| Provider Name | Amy Lynn Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144510256 PECOS PAC ID: 6305282294 Enrollment ID: I20240418003456 |
| Provider Name | Christopher S Postle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427609346 PECOS PAC ID: 3274972534 Enrollment ID: I20240418003720 |
| Provider Name | Michael W Reardon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861939100 PECOS PAC ID: 9234578592 Enrollment ID: I20240418003857 |
| Provider Name | Kristen A Meder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124563382 PECOS PAC ID: 0941649206 Enrollment ID: I20240418003976 |
| Provider Name | Scott T Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568908135 PECOS PAC ID: 7810336047 Enrollment ID: I20240419002011 |
| Provider Name | Jennifer Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316294333 PECOS PAC ID: 6103369491 Enrollment ID: I20240614001477 |
| Provider Name | Kierra R Bleyle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215625918 PECOS PAC ID: 6608316294 Enrollment ID: I20240910002763 |
| Provider Name | Victoria Florence Petherick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235750886 PECOS PAC ID: 3072053685 Enrollment ID: I20240910003569 |
Olean Medical Group Partnership Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 Fax: 716-945-2393 | |
Olean Medical Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 | |
Family Practice Associates Of Cattaraugus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 Fax: 716-945-2393 | |
Southern Tier Community Health Center Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 445 Broad St, Salamanca, NY 14779 Phone: 716-375-7500 Fax: 716-806-1287 | |
Salamance Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4039 Route 219, Suite 102, Salamanca, NY 14779 Phone: 716-945-3000 | |
Seneca Nation Of Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 |