WNY PEDIATRIC ENDOCRINOLOGY, PLLC (NPI# 1033694294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033694294 |
| Entity Type | Organization |
| Organization Name | WNY PEDIATRIC ENDOCRINOLOGY, PLLC |
| Practice Address |
5762 E Main Street Rd Ste B Batavia NY 14020-9621 |
| Practice Telephone | 5852017112 |
| Practice Fax Number | 5852017128 |
| Mailing Telephone | 5852017112 |
| Mailing Fax Number | 5852017128 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | NADEZHDA DANILOVICH (OWNER) |
| Authorized Official Telephone | 5852017112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDEPENDENT HEALTH | 1214181 | 01 | |
| NY | 02852904 | 05 | |
| BCBS WNY | 000529154002 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6631 Main St Ste 2, Williamsville, NY 142215934 | 5852017112 | 5852017128 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WNY PEDIATRIC ENDOCRINOLOGY, PLLC | 157 Coriander Court, E. Amherst, Ny 14051 |
| Street Address |
5762 E MAIN STREET RD STE B |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225111651 | Shannon Fourtner | Pediatrics | 5762 E Main Street Rd Ste B, Batavia, NY 14020-9621 | 2006-10-21 |
| 1316077878 | Nadezhda Danilovich | Pediatrics | 5762 E Main Street Rd Ste B, Batavia, NY 14020 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225111651 | Shannon Fourtner | Pediatrics | 5762 E Main Street Rd Ste B, Batavia, NY 14020-9621 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771990 | Larisa Anatolievna Rusyn | Pediatrics | 462 1st Ave Rm 8w52, New York, NY 10016-9196 | 2011-08-07 |
| 1285920314 | Yelena Kogelman | Pediatrics | 6701 Bay Pkwy, Brooklyn, NY 11204-4749 | 2011-06-27 |
| 1326346917 | Chitra Sekaran | Pediatrics | 2 Stonytown Rd, Manhasset, NY 11030-1118 | 2011-03-05 |
| 1497908826 | Bronx Pediatrics, PC | Pediatrics | 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 | 2008-10-29 |
| 1699927228 | Holly Caren Schachner | Pediatrics | 7 Winslow Pl, Larchmont, NY 10538-2612 | 2008-10-14 |
| 1427212612 | Loretta Iazzetti | Pediatrics | Box 1616, One Gustave Levy Place, New York, NY 10029 | 2008-07-16 |
| 1952565228 | Sofia Shapiro | Pediatrics | 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 | 2008-07-15 |
| 1528183480 | Queens Endocrinology Partners | Pediatrics | 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 | 2007-03-20 |
| 1548396914 | Elka E. Jacobson | Pediatrics | 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 | 2007-02-27 |
| 1275695298 | Paul Saenger | Pediatrics | 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.