| Trinity Medical Wny Pc | |
|
144 Genesse Street Buffalo NY 14203-1560 | |
| (716) 206-1503 | |
| (716) 821-4465 |
| Full Name | Trinity Medical Wny Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 Genesse Street, Buffalo, New York |
| Authorized Official Name and Position | Eric Koch (PRESIDENT/OWNER) |
| Authorized Official Contact | 7168214461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Wny Pc 144 Genesee St Fl 3 Buffalo NY 14203-1560 Ph: (716) 206-1510 | Trinity Medical Wny Pc 144 Genesse Street Buffalo NY 14203-1560 Ph: (716) 206-1503 |
| NPI Number | 1295043149 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 05/05/2025 |
| Medicare PECOS PAC ID | 5193907517 |
|---|---|
| Medicare Enrollment ID | O20110307000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295043149 | NPI | - | NPPES |
| 03317411 | Medicaid | NY |
| Provider Name | Molly A Sheron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104896570 PECOS PAC ID: 3173420999 Enrollment ID: I20031218000284 |
| Provider Name | Lynn-marie Aronica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952374050 PECOS PAC ID: 4880591676 Enrollment ID: I20031218000691 |
| Provider Name | Minsoo Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780681569 PECOS PAC ID: 9133016249 Enrollment ID: I20040303000398 |
| Provider Name | Toni M Murphy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003862897 PECOS PAC ID: 5496644916 Enrollment ID: I20040312000839 |
| Provider Name | Patrick D Chan-lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205807575 PECOS PAC ID: 9537058649 Enrollment ID: I20040315000778 |
| Provider Name | Christine A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275527392 PECOS PAC ID: 1153212923 Enrollment ID: I20040322001262 |
| Provider Name | Lisa C Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154362424 PECOS PAC ID: 4587657820 Enrollment ID: I20040405000486 |
| Provider Name | Philip M Sauvageau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609852714 PECOS PAC ID: 3476547399 Enrollment ID: I20040413001401 |
| Provider Name | Joseph M Anain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215958830 PECOS PAC ID: 0547258972 Enrollment ID: I20040504001496 |
| Provider Name | Daniel D Camara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235121732 PECOS PAC ID: 3274430038 Enrollment ID: I20040513000949 |
| Provider Name | Ramesh Luther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437141991 PECOS PAC ID: 8820995681 Enrollment ID: I20040513001051 |
| Provider Name | Karen D Lauricella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962452722 PECOS PAC ID: 1658354378 Enrollment ID: I20040611001067 |
| Provider Name | Grzegorz P Rozmus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871576967 PECOS PAC ID: 1254315690 Enrollment ID: I20040615000386 |
| Provider Name | David Fisher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083711170 PECOS PAC ID: 5890779136 Enrollment ID: I20040623000691 |
| Provider Name | Ashok Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326046343 PECOS PAC ID: 6800873142 Enrollment ID: I20040702001172 |
| Provider Name | Mohammad A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183231 PECOS PAC ID: 1153308176 Enrollment ID: I20040707000517 |
| Provider Name | Abdollah Sedighi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407830565 PECOS PAC ID: 7618957200 Enrollment ID: I20040723000490 |
| Provider Name | Deborah J Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215934294 PECOS PAC ID: 1355321860 Enrollment ID: I20040724000111 |
| Provider Name | Paul Lapoint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790782761 PECOS PAC ID: 8729068192 Enrollment ID: I20040726000147 |
| Provider Name | Maria S Jereva-simeonova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285616425 PECOS PAC ID: 4486625878 Enrollment ID: I20040802000008 |
| Provider Name | Patricia M Parysek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205880770 PECOS PAC ID: 5092788232 Enrollment ID: I20040817000239 |
| Provider Name | Ronald P White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952401184 PECOS PAC ID: 3173437639 Enrollment ID: I20040901000290 |
| Provider Name | Amanda J Koslosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831310002 PECOS PAC ID: 6406816644 Enrollment ID: I20041013000162 |
| Provider Name | Parag P Parikh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649229709 PECOS PAC ID: 8820051121 Enrollment ID: I20041110000196 |
| Provider Name | Bruce D Rodgers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174544860 PECOS PAC ID: 5193789311 Enrollment ID: I20041117000785 |
| Provider Name | Diane P Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346250966 PECOS PAC ID: 3971552415 Enrollment ID: I20050121000491 |
| Provider Name | Kristine M Sabatino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497706303 PECOS PAC ID: 5890745350 Enrollment ID: I20050127000502 |
| Provider Name | Loraine H Ippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194782425 PECOS PAC ID: 2860443173 Enrollment ID: I20050204000682 |
| Provider Name | Daniel P Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164513370 PECOS PAC ID: 3274584982 Enrollment ID: I20050209000819 |
| Provider Name | Diane M Sanfilippo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104819952 PECOS PAC ID: 9133172687 Enrollment ID: I20050228000119 |
| Provider Name | Kelly A Pietrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063572378 PECOS PAC ID: 8325092869 Enrollment ID: I20050310000143 |
| Provider Name | Ayman A Ghoniem |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508843186 PECOS PAC ID: 9335042175 Enrollment ID: I20050325000629 |
| Provider Name | Melissa D Fincher Mergi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740350784 PECOS PAC ID: 3971550096 Enrollment ID: I20050331001059 |
| Provider Name | Norman J Sfeir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972567741 PECOS PAC ID: 8527046168 Enrollment ID: I20050531000284 |
| Provider Name | John Sauret |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225000268 PECOS PAC ID: 8022052133 Enrollment ID: I20050621001028 |
| Provider Name | Christopher Zulawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790848489 PECOS PAC ID: 7315982048 Enrollment ID: I20050623000235 |
| Provider Name | Thomas Francis Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Elizabeth A O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204377 PECOS PAC ID: 0446295950 Enrollment ID: I20050624000852 |
| Provider Name | Donald J Largo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811966799 PECOS PAC ID: 4486690468 Enrollment ID: I20050629001047 |
| Provider Name | Mark R Podlas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437117264 PECOS PAC ID: 6507802279 Enrollment ID: I20050705000035 |
| Provider Name | Sharon H Nisengard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043232002 PECOS PAC ID: 1759317639 Enrollment ID: I20050714000098 |
| Provider Name | Thaddeus Szarzanowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972515740 PECOS PAC ID: 3072542539 Enrollment ID: I20050805000299 |
| Provider Name | Thomas A Cumbo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982744504 PECOS PAC ID: 3476581257 Enrollment ID: I20050808000026 |
| Provider Name | Anthony J Buscaglia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265579536 PECOS PAC ID: 9133152218 Enrollment ID: I20050919000372 |
| Provider Name | Michele A Potempa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023072055 PECOS PAC ID: 7214910629 Enrollment ID: I20051017000785 |
| Provider Name | Timothy F Gabryel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124061320 PECOS PAC ID: 0648253351 Enrollment ID: I20051102000011 |
| Provider Name | Daniel Trock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639134885 PECOS PAC ID: 4880612019 Enrollment ID: I20051107000522 |
| Provider Name | Henry M Meltser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497796304 PECOS PAC ID: 9739135104 Enrollment ID: I20060109000050 |
| Provider Name | Kimberly Ann Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891761441 PECOS PAC ID: 6103840392 Enrollment ID: I20060113000702 |
| Provider Name | Rajinder K Basra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003814351 PECOS PAC ID: 3678587094 Enrollment ID: I20060206000383 |
| Provider Name | Suchitra Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336170729 PECOS PAC ID: 6709785488 Enrollment ID: I20060224000275 |
| Provider Name | Constance M Campanella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093776833 PECOS PAC ID: 2264449305 Enrollment ID: I20060314000409 |
| Provider Name | Lee R Guterman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780600718 PECOS PAC ID: 2264336841 Enrollment ID: I20060420000595 |
| Provider Name | Najat A Turaif |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1669438446 PECOS PAC ID: 7719996743 Enrollment ID: I20060420000611 |
| Provider Name | Stephen W Downing |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104861178 PECOS PAC ID: 8628074051 Enrollment ID: I20061009000097 |
| Provider Name | Eram Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285644880 PECOS PAC ID: 3870591860 Enrollment ID: I20061130000146 |
| Provider Name | Cheryl A Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326056417 PECOS PAC ID: 1456352632 Enrollment ID: I20070131000324 |
| Provider Name | Sarina E Bax Debiaso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578581419 PECOS PAC ID: 4688675127 Enrollment ID: I20070213000408 |
| Provider Name | Israr A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20070420000344 |
| Provider Name | Amy Lynn Baun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851469191 PECOS PAC ID: 6608974902 Enrollment ID: I20070611000453 |
| Provider Name | Arvind K Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629077391 PECOS PAC ID: 6002812682 Enrollment ID: I20070619000034 |
| Provider Name | Sheila Pieczonka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720071780 PECOS PAC ID: 8426157231 Enrollment ID: I20070620000101 |
| Provider Name | Benjamin G Rueda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891767786 PECOS PAC ID: 5193614360 Enrollment ID: I20070702000486 |
| Provider Name | Kirk Russell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912075631 PECOS PAC ID: 2860583937 Enrollment ID: I20070802000664 |
| Provider Name | Charlene L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861456758 PECOS PAC ID: 0143311506 Enrollment ID: I20070814000658 |
| Provider Name | Peter S Mcquiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326173 PECOS PAC ID: 4486747540 Enrollment ID: I20070905000499 |
| Provider Name | Jerome C Andres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410108 PECOS PAC ID: 8527022870 Enrollment ID: I20070907000080 |
| Provider Name | Daniel W Zorich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770581993 PECOS PAC ID: 8527151463 Enrollment ID: I20070907000573 |
| Provider Name | James L Rycyna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770556631 PECOS PAC ID: 7315836632 Enrollment ID: I20071003000142 |
| Provider Name | Joseph Linyun Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235125550 PECOS PAC ID: 2961599386 Enrollment ID: I20071101000494 |
| Provider Name | Paul M Anain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003887811 PECOS PAC ID: 1951331685 Enrollment ID: I20071115000552 |
| Provider Name | Diane Stonemetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003809864 PECOS PAC ID: 8325117377 Enrollment ID: I20080517000007 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Jeffrey W Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801866868 PECOS PAC ID: 8527089218 Enrollment ID: I20090603000485 |
| Provider Name | Edward Ventresca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154395648 PECOS PAC ID: 9931164506 Enrollment ID: I20090616000012 |
| Provider Name | June M Telaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619910718 PECOS PAC ID: 9133272172 Enrollment ID: I20090808000020 |
| Provider Name | Agnes V Quebral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861553349 PECOS PAC ID: 5092860981 Enrollment ID: I20090828000010 |
| Provider Name | Robert A Gianfagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386650943 PECOS PAC ID: 1254486178 Enrollment ID: I20090828000326 |
| Provider Name | Roger Walcott |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992962302 PECOS PAC ID: 3375680192 Enrollment ID: I20091028000320 |
| Provider Name | Jeffrey A Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184677957 PECOS PAC ID: 3870631682 Enrollment ID: I20091117000078 |
| Provider Name | Jerome J Ulatowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790783355 PECOS PAC ID: 6103964770 Enrollment ID: I20091119000267 |
| Provider Name | Charmaine A Fanara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740378751 PECOS PAC ID: 8820137219 Enrollment ID: I20091124000304 |
| Provider Name | Gerard J Tiballi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912953761 PECOS PAC ID: 7113067125 Enrollment ID: I20091223000488 |
| Provider Name | Clifford C Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245306729 PECOS PAC ID: 6901949031 Enrollment ID: I20100211000238 |
| Provider Name | Samuel R Sirianni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508933581 PECOS PAC ID: 6406821974 Enrollment ID: I20100324000997 |
| Provider Name | David R Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619904612 PECOS PAC ID: 0840189015 Enrollment ID: I20100609000143 |
| Provider Name | Nadeem U Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729820 PECOS PAC ID: 3971522368 Enrollment ID: I20100609000204 |
| Provider Name | Aravind Herle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851327951 PECOS PAC ID: 7517986904 Enrollment ID: I20100609000244 |
| Provider Name | Douglas L Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811931066 PECOS PAC ID: 8123017290 Enrollment ID: I20100609000341 |
| Provider Name | Narayana Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871545665 PECOS PAC ID: 9830220151 Enrollment ID: I20100701000150 |
| Provider Name | Sonjoy Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410066 PECOS PAC ID: 6507912995 Enrollment ID: I20100717000259 |
| Provider Name | Richard J Ruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073535449 PECOS PAC ID: 8921058280 Enrollment ID: I20100802000174 |
| Provider Name | Joseph M Anain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235100041 PECOS PAC ID: 8921086935 Enrollment ID: I20100817001415 |
| Provider Name | Joseph Gelormini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790790442 PECOS PAC ID: 8628142254 Enrollment ID: I20100819000959 |
| Provider Name | Mohan Madhusudanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548308463 PECOS PAC ID: 4587798871 Enrollment ID: I20100823000897 |
| Provider Name | Mark R Jajkowski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073628244 PECOS PAC ID: 2365566874 Enrollment ID: I20100903000594 |
| Provider Name | Maria J Komin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864505 PECOS PAC ID: 6608922091 Enrollment ID: I20101004001152 |
| Provider Name | Kumar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538351986 PECOS PAC ID: 5395937759 Enrollment ID: I20101005000146 |
| Provider Name | Jay M Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104815679 PECOS PAC ID: 5395762439 Enrollment ID: I20101007000087 |
| Provider Name | Annmarie M Lally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538205968 PECOS PAC ID: 3971796533 Enrollment ID: I20101015000478 |
| Provider Name | Maureen J Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912925686 PECOS PAC ID: 5890981690 Enrollment ID: I20101118001103 |
| Provider Name | Patricia M Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871591040 PECOS PAC ID: 0648467340 Enrollment ID: I20101207000932 |
| Provider Name | Lenore A Nigrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275564569 PECOS PAC ID: 1456548718 Enrollment ID: I20101213000441 |
| Provider Name | Andrea M Rosati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336126630 PECOS PAC ID: 4587853841 Enrollment ID: I20110118001044 |
| Provider Name | Thomas I Knox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609838218 PECOS PAC ID: 4688611932 Enrollment ID: I20110419000155 |
| Provider Name | Ronald Emerson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073526356 PECOS PAC ID: 7517142284 Enrollment ID: I20110421000686 |
| Provider Name | Labib Hossain Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598979361 PECOS PAC ID: 4082783535 Enrollment ID: I20110516000562 |
| Provider Name | Shreyas K Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861564908 PECOS PAC ID: 0244323269 Enrollment ID: I20110621000498 |
| Provider Name | Bala Gangadhara Reddy Thatigotla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427225317 PECOS PAC ID: 7911039292 Enrollment ID: I20110712000075 |
| Provider Name | Arif S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508068628 PECOS PAC ID: 1052333960 Enrollment ID: I20110722000596 |
| Provider Name | Mark Cavaretta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942400643 PECOS PAC ID: 8224182084 Enrollment ID: I20110803000125 |
| Provider Name | Chanda G Agro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962546812 PECOS PAC ID: 5799956298 Enrollment ID: I20110913000659 |
| Provider Name | Kimberly C Mecca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457325979 PECOS PAC ID: 3971774803 Enrollment ID: I20110926000057 |
| Provider Name | Ali Masud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952588535 PECOS PAC ID: 0749452258 Enrollment ID: I20111005000484 |
| Provider Name | Mary A Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053361816 PECOS PAC ID: 0547240681 Enrollment ID: I20111202000036 |
| Provider Name | Michael J Hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760595771 PECOS PAC ID: 5890960777 Enrollment ID: I20111203000183 |
| Provider Name | Laraine Marie Wende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424472 PECOS PAC ID: 4183891591 Enrollment ID: I20120125000266 |
| Provider Name | Peter Meglin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851342513 PECOS PAC ID: 1557538998 Enrollment ID: I20120125000535 |
| Provider Name | Dorothy L Trubish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295817369 PECOS PAC ID: 8921084286 Enrollment ID: I20120221000605 |
| Provider Name | Karen B Wesselhoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386601961 PECOS PAC ID: 2365466174 Enrollment ID: I20120307000375 |
| Provider Name | Matthew G Mcclure |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407063241 PECOS PAC ID: 9436313475 Enrollment ID: I20120604000310 |
| Provider Name | Jyotsna Bhatnagar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629215272 PECOS PAC ID: 6507020815 Enrollment ID: I20120619000073 |
| Provider Name | Scott Sobieraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730333592 PECOS PAC ID: 3779617402 Enrollment ID: I20120626000352 |
| Provider Name | John Christopher Karpie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972705408 PECOS PAC ID: 2264563865 Enrollment ID: I20120723000653 |
| Provider Name | Susan Jane Ponivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467614230 PECOS PAC ID: 3779732094 Enrollment ID: I20121002000405 |
| Provider Name | Jin Hwa Song |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760629364 PECOS PAC ID: 9638328446 Enrollment ID: I20121010000405 |
| Provider Name | Therese M Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190796 PECOS PAC ID: 8921244260 Enrollment ID: I20130411000390 |
| Provider Name | Alan D Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629074901 PECOS PAC ID: 0143204693 Enrollment ID: I20130502000137 |
| Provider Name | Alfred D Belen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386776847 PECOS PAC ID: 5597810499 Enrollment ID: I20130802000762 |
| Provider Name | Joseph F Fasanello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366769796 PECOS PAC ID: 1658514468 Enrollment ID: I20130827000235 |
| Provider Name | Christie R Goodman-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417201294 PECOS PAC ID: 2062665540 Enrollment ID: I20130924000280 |
| Provider Name | Jessica L Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992937080 PECOS PAC ID: 9830323567 Enrollment ID: I20131010001978 |
| Provider Name | Emily C Battaglia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144548587 PECOS PAC ID: 3678708922 Enrollment ID: I20131023000506 |
| Provider Name | Michael F Petroziello |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730345513 PECOS PAC ID: 0446487458 Enrollment ID: I20131219001461 |
| Provider Name | Daniel J Molloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215255781 PECOS PAC ID: 2163659863 Enrollment ID: I20131227001150 |
| Provider Name | Adele M Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548693724 PECOS PAC ID: 7911136601 Enrollment ID: I20140129000030 |
| Provider Name | Heather Riester |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518395235 PECOS PAC ID: 5890918338 Enrollment ID: I20140602000578 |
| Provider Name | David M Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194149658 PECOS PAC ID: 1052538246 Enrollment ID: I20140812001689 |
| Provider Name | Kevin S Berman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134426539 PECOS PAC ID: 0547417289 Enrollment ID: I20140819001988 |
| Provider Name | Jodi Susan Ball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578881058 PECOS PAC ID: 8729206412 Enrollment ID: I20140821000350 |
| Provider Name | Shaveta Malik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154632966 PECOS PAC ID: 8426276601 Enrollment ID: I20140829001740 |
| Provider Name | Deborah Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033520580 PECOS PAC ID: 2365660263 Enrollment ID: I20140905000499 |
| Provider Name | Marcella Zynda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083900054 PECOS PAC ID: 4082834130 Enrollment ID: I20141013001602 |
| Provider Name | Aimee J Swartz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093913972 PECOS PAC ID: 3274754445 Enrollment ID: I20141103000185 |
| Provider Name | Andrew W Mack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063517175 PECOS PAC ID: 6406027796 Enrollment ID: I20150106000112 |
| Provider Name | Mary G Distefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328968 PECOS PAC ID: 1153645650 Enrollment ID: I20150109000788 |
| Provider Name | Jessica M Kostrewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588066468 PECOS PAC ID: 8921324609 Enrollment ID: I20150225000678 |
| Provider Name | Christina Hayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972927853 PECOS PAC ID: 9638495542 Enrollment ID: I20150311001057 |
| Provider Name | John D Rutkoski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972761468 PECOS PAC ID: 9931365392 Enrollment ID: I20150331000643 |
| Provider Name | Prashant Vaishnava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942351465 PECOS PAC ID: 0749349041 Enrollment ID: I20150409002347 |
| Provider Name | Dina Nicole Worley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194085191 PECOS PAC ID: 3476871054 Enrollment ID: I20150410000863 |
| Provider Name | Zachary M Lill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881911519 PECOS PAC ID: 2163742776 Enrollment ID: I20150522000078 |
| Provider Name | Gregory Thomas Clabeaux |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205098159 PECOS PAC ID: 6709199730 Enrollment ID: I20150721000538 |
| Provider Name | Maria C Brett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948713 PECOS PAC ID: 3870808017 Enrollment ID: I20150817001501 |
| Provider Name | Carrie M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568687648 PECOS PAC ID: 1557677713 Enrollment ID: I20150902001427 |
| Provider Name | Asfa Y Shad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801047899 PECOS PAC ID: 5597072884 Enrollment ID: I20150918001501 |
| Provider Name | Kristen Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100677 PECOS PAC ID: 0143520171 Enrollment ID: I20151124001269 |
| Provider Name | Prajwal Ashok Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942414578 PECOS PAC ID: 0244402683 Enrollment ID: I20160427000984 |
| Provider Name | Shannon Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712101 PECOS PAC ID: 9133411101 Enrollment ID: I20160712001806 |
| Provider Name | Frank Eugene Ferro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104032093 PECOS PAC ID: 1759563711 Enrollment ID: I20160809001856 |
| Provider Name | Keenan Adib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790098804 PECOS PAC ID: 7214186550 Enrollment ID: I20160822002276 |
| Provider Name | Rajarshi Parai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073831657 PECOS PAC ID: 6406150200 Enrollment ID: I20160902001360 |
| Provider Name | Harsh B Jain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144365453 PECOS PAC ID: 7315131653 Enrollment ID: I20160907001648 |
| Provider Name | John M Nayda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952690026 PECOS PAC ID: 1759670557 Enrollment ID: I20161012001645 |
| Provider Name | Sarah J Mackinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724284 PECOS PAC ID: 2961781208 Enrollment ID: I20161109002177 |
| Provider Name | Renate K Gorenflo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407061328 PECOS PAC ID: 4981987864 Enrollment ID: I20170220002721 |
| Provider Name | Elisabeth Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376834085 PECOS PAC ID: 4284803511 Enrollment ID: I20170505000380 |
| Provider Name | Mahmoud Zahra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093029134 PECOS PAC ID: 5092092429 Enrollment ID: I20170511001868 |
| Provider Name | Tina Marie Ricchiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880579 PECOS PAC ID: 3577840826 Enrollment ID: I20170515001911 |
| Provider Name | John M Forman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992871123 PECOS PAC ID: 4385549591 Enrollment ID: I20170605001487 |
| Provider Name | Joseph T Andrzejewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194169664 PECOS PAC ID: 5496063422 Enrollment ID: I20170614001693 |
| Provider Name | Jessica L Drzewiecki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912312935 PECOS PAC ID: 6305115163 Enrollment ID: I20170711000482 |
| Provider Name | Nolan P Machernis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669765681 PECOS PAC ID: 4587947833 Enrollment ID: I20170717002701 |
| Provider Name | Kaitlin J Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753531 PECOS PAC ID: 2466722582 Enrollment ID: I20170724001268 |
| Provider Name | Gianna M Mcevoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366889230 PECOS PAC ID: 1456623446 Enrollment ID: I20170825002603 |
| Provider Name | Andrei Sfintescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154749869 PECOS PAC ID: 1759655525 Enrollment ID: I20170918000658 |
| Provider Name | Salvior Mok |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790921930 PECOS PAC ID: 3375859960 Enrollment ID: I20171016002450 |
| Provider Name | Shyamal G Majithia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992115604 PECOS PAC ID: 0143596767 Enrollment ID: I20171026002740 |
| Provider Name | Kendra L Smietana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075547 PECOS PAC ID: 5991071458 Enrollment ID: I20171027001260 |
| Provider Name | Elspeth S Call Lukasik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013259514 PECOS PAC ID: 8729345103 Enrollment ID: I20171121001136 |
| Provider Name | Stephen J Barido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174040232 PECOS PAC ID: 0941567192 Enrollment ID: I20171127002016 |
| Provider Name | Suhayb M Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163895 PECOS PAC ID: 3870850951 Enrollment ID: I20171128000437 |
| Provider Name | Kafai Lai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316243603 PECOS PAC ID: 8628250925 Enrollment ID: I20171128003429 |
| Provider Name | Julie P Delellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469016 PECOS PAC ID: 7719246875 Enrollment ID: I20180117001898 |
| Provider Name | Omar Hasan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912269879 PECOS PAC ID: 2769745793 Enrollment ID: I20180404001845 |
| Provider Name | Lilliam Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821375213 PECOS PAC ID: 3678836640 Enrollment ID: I20180405000328 |
| Provider Name | Ashley Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750794525 PECOS PAC ID: 6608185202 Enrollment ID: I20180717003971 |
| Provider Name | Nawfal Al-khafaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134470107 PECOS PAC ID: 6103065966 Enrollment ID: I20180801000051 |
| Provider Name | Umbrine Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700390770 PECOS PAC ID: 8729336144 Enrollment ID: I20180801002164 |
| Provider Name | Tiffany Nakajima |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356832778 PECOS PAC ID: 0143570531 Enrollment ID: I20180905003350 |
| Provider Name | Theresa M Christensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609359611 PECOS PAC ID: 4981957495 Enrollment ID: I20181031001469 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20181114002767 |
| Provider Name | Stacy Macfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583032 PECOS PAC ID: 0244478527 Enrollment ID: I20181221001636 |
| Provider Name | Stephen Edward Watkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164785754 PECOS PAC ID: 4981975141 Enrollment ID: I20190215001886 |
| Provider Name | Valerie Ulm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538555131 PECOS PAC ID: 6002160918 Enrollment ID: I20190627001111 |
| Provider Name | Caitlin M Nicotra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467848143 PECOS PAC ID: 4183962996 Enrollment ID: I20190627001115 |
| Provider Name | Dana M Cleason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588050397 PECOS PAC ID: 5698015964 Enrollment ID: I20190724000174 |
| Provider Name | Joseph M Barbato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154778694 PECOS PAC ID: 9739416504 Enrollment ID: I20190816001494 |
| Provider Name | Thomas J Edd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538514864 PECOS PAC ID: 3476848573 Enrollment ID: I20190919003003 |
| Provider Name | John Nabil Bibawy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760799050 PECOS PAC ID: 5294978771 Enrollment ID: I20191119000898 |
| Provider Name | Richard T Jenkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164840369 PECOS PAC ID: 9133551716 Enrollment ID: I20191120001061 |
| Provider Name | Joelle Cathryn Hochulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154878023 PECOS PAC ID: 3072893783 Enrollment ID: I20191202000241 |
| Provider Name | Ronald Chong-yik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497199228 PECOS PAC ID: 2769602648 Enrollment ID: I20191209001182 |
| Provider Name | Benjamin L Kober |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518312487 PECOS PAC ID: 2365793353 Enrollment ID: I20200207000847 |
| Provider Name | Mohamed Metawee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881016939 PECOS PAC ID: 0941510952 Enrollment ID: I20200318001305 |
| Provider Name | Khaled Abdulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423684 PECOS PAC ID: 0446594485 Enrollment ID: I20200813001608 |
| Provider Name | Tarvinder Gilotra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902288103 PECOS PAC ID: 4880931484 Enrollment ID: I20200820001618 |
| Provider Name | Marwan Saoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083025985 PECOS PAC ID: 5193062750 Enrollment ID: I20200901001968 |
| Provider Name | Robert J Taylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528473543 PECOS PAC ID: 0648579870 Enrollment ID: I20201013000150 |
| Provider Name | Kalene J Notaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518504166 PECOS PAC ID: 8527471911 Enrollment ID: I20201231001808 |
| Provider Name | Kimberly C Esford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396340659 PECOS PAC ID: 7517370323 Enrollment ID: I20210114002235 |
| Provider Name | Patricia Brydalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942579867 PECOS PAC ID: 9537573829 Enrollment ID: I20210127003252 |
| Provider Name | Kristin E Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592449 PECOS PAC ID: 6305251349 Enrollment ID: I20210224002462 |
| Provider Name | Samantha J Esnaola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692888 PECOS PAC ID: 1254748940 Enrollment ID: I20210324002788 |
| Provider Name | Jessica L. Brawdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165700 PECOS PAC ID: 7214336304 Enrollment ID: I20210521001134 |
| Provider Name | Joseph Messana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689094641 PECOS PAC ID: 7012316102 Enrollment ID: I20210521001187 |
| Provider Name | Valeri Kraskovsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396155529 PECOS PAC ID: 7113264771 Enrollment ID: I20210706003541 |
| Provider Name | Dana L Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427625573 PECOS PAC ID: 4284037748 Enrollment ID: I20210722000435 |
| Provider Name | Sehem Ghazala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265846950 PECOS PAC ID: 5890050041 Enrollment ID: I20210730003107 |
| Provider Name | Umair Masood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245646975 PECOS PAC ID: 9234476847 Enrollment ID: I20210810004055 |
| Provider Name | Nikita R Depronio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917866 PECOS PAC ID: 9739584194 Enrollment ID: I20210823002384 |
| Provider Name | Janice M Gennocro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790364131 PECOS PAC ID: 1254729882 Enrollment ID: I20211101000317 |
| Provider Name | Umer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063806206 PECOS PAC ID: 0143523498 Enrollment ID: I20211102003004 |
| Provider Name | Xiaodan Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841956034 PECOS PAC ID: 2860884582 Enrollment ID: I20220110000450 |
| Provider Name | Mary Katherine Kosowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937441 PECOS PAC ID: 8527451921 Enrollment ID: I20220208000559 |
| Provider Name | Jordan R Verrall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578313 PECOS PAC ID: 4385038843 Enrollment ID: I20220225001494 |
| Provider Name | Muzamil Wamiq Sheikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437370848 PECOS PAC ID: 4688740533 Enrollment ID: I20220426001815 |
| Provider Name | Hassan S Patail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710391180 PECOS PAC ID: 3476895293 Enrollment ID: I20220504002572 |
| Provider Name | Ranae Stefaniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344297 PECOS PAC ID: 2769860816 Enrollment ID: I20220602001182 |
| Provider Name | Nirosshan Thiruchelvam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262866 PECOS PAC ID: 6103131347 Enrollment ID: I20220620000215 |
| Provider Name | Patrick R Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710605860 PECOS PAC ID: 4385012376 Enrollment ID: I20221123000117 |
| Provider Name | Krista T Rektorik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629739545 PECOS PAC ID: 3577935410 Enrollment ID: I20230202001294 |
| Provider Name | Annielaurie Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835158 PECOS PAC ID: 1355715673 Enrollment ID: I20230328000133 |
| Provider Name | Daniel R Slack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932581618 PECOS PAC ID: 0143525261 Enrollment ID: I20230329003186 |
| Provider Name | Divya Gumber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407250913 PECOS PAC ID: 5294124350 Enrollment ID: I20230421002381 |
| Provider Name | Sara Davidovich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467089631 PECOS PAC ID: 4981062452 Enrollment ID: I20230615002732 |
| Provider Name | Alexis L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685676 PECOS PAC ID: 8729448477 Enrollment ID: I20230713001845 |
| Provider Name | Michael O Wilber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649665266 PECOS PAC ID: 4385942754 Enrollment ID: I20230817000141 |
| Provider Name | Francois A Fadell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003051715 PECOS PAC ID: 2264675180 Enrollment ID: I20230821001584 |
| Provider Name | Wassim Mosleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245619345 PECOS PAC ID: 1557619723 Enrollment ID: I20230824002803 |
| Provider Name | Megan Guntrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679102412 PECOS PAC ID: 9537514328 Enrollment ID: I20231013003119 |
| Provider Name | Syed A Haseeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124557749 PECOS PAC ID: 7618323262 Enrollment ID: I20231102001160 |
| Provider Name | Joelle M Kozierowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722770 PECOS PAC ID: 4688022494 Enrollment ID: I20231204002515 |
| Provider Name | Matthew D Behringer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437513728 PECOS PAC ID: 9830484146 Enrollment ID: I20231221002655 |
| Provider Name | Brianna M Wesolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538878871 PECOS PAC ID: 5496105009 Enrollment ID: I20231222000550 |
| Provider Name | Jessica E French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649554122 PECOS PAC ID: 0446603260 Enrollment ID: I20240129002365 |
| Provider Name | Mark Saling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831620350 PECOS PAC ID: 9931473550 Enrollment ID: I20240223000058 |
| Provider Name | David S Feldman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386688711 PECOS PAC ID: 2062493125 Enrollment ID: I20240311003135 |
| Provider Name | Ryan Zulawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447018049 PECOS PAC ID: 9638510746 Enrollment ID: I20240507002389 |
| Provider Name | Megan R Gerwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609632926 PECOS PAC ID: 6002257722 Enrollment ID: I20240513002764 |
| Provider Name | Josef D Nachar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144098435 PECOS PAC ID: 3971945882 Enrollment ID: I20240523002083 |
| Provider Name | Keith A Zuccala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225074248 PECOS PAC ID: 5294748745 Enrollment ID: I20240710002000 |
| Provider Name | Sarah K Hy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932959764 PECOS PAC ID: 1658816657 Enrollment ID: I20240715002039 |
| Provider Name | Michelle E Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006674 PECOS PAC ID: 7618263823 Enrollment ID: I20240805003844 |
| Provider Name | Laura A Mcglynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710506993 PECOS PAC ID: 9032659990 Enrollment ID: I20240906002234 |
| Provider Name | Raffaele A Ruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457814196 PECOS PAC ID: 3870822265 Enrollment ID: I20240930003155 |
| Provider Name | Shelby R Beckholt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093343162 PECOS PAC ID: 3375079213 Enrollment ID: I20241216001102 |
| Provider Name | Nicole M Fitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922628312 PECOS PAC ID: 8527595339 Enrollment ID: I20241218000643 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417197708 PECOS PAC ID: 3476705831 Enrollment ID: I20241218001125 |
| Provider Name | Kevin P Krul |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689936775 PECOS PAC ID: 9133499858 Enrollment ID: I20250311000244 |
| Provider Name | Jacob Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558858571 PECOS PAC ID: 5294257911 Enrollment ID: I20250321002136 |
| Provider Name | Ifad U Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831399542 PECOS PAC ID: 2062697048 Enrollment ID: I20250505001386 |
| Provider Name | Loren Nicole Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518768456 PECOS PAC ID: 4486173440 Enrollment ID: I20250522002990 |
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 Ipa 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 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 |