BLU SPA & SLAON, LLC (NPI# 1053542977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053542977 |
| Entity Type | Organization |
| Organization Name | BLU SPA & SLAON, LLC |
| Practice Address |
3030 Orchard Park Rd West Seneca NY 14224-4638 |
| Practice Telephone | 7166752258 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | VICKI R KEHR (CEO) |
| Authorized Official Telephone | 7166752258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 21BL1296864 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 000500099004 | 01 |
| NY | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 000524717014 | 01 |
| Street Address |
3030 ORCHARD PARK RD |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295817369 | Dorothy L. Trubish | Specialist | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2006-10-19 |
| 1508333733 | Janelle Rachel Lauciello | Physician Assistant | 3030 Orchard Park Rd, West Seneca, NY 14224-4667 | 2018-10-25 |
| 1265805832 | Wny Gi Connection Pllc | Clinic/Center | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2015-11-04 |
| 1649612573 | Lauren L Hill | Physician Assistant | 3030 Orchard Park Rd, West Seneca, NY 14224 | 2013-07-19 |
| 1255772984 | J. Steinig Md, Pllc | Surgery | 3030 Orchard Park Rd, Suite B, West Seneca, NY 14224-4638 | 2013-07-10 |
| 1568802692 | Alyssa L Koshinski | Physician Assistant | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2013-07-03 |
| 1447574017 | Johanna C Morawski | Massage Therapist | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2010-03-25 |
| 1770812299 | Blu Spa & Salon LLC | Specialist | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2009-12-11 |
| 1962649921 | Tammy Lee Achkar | Massage Therapist | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2009-01-13 |
| 1073759973 | Blu Spa and Salon | Massage Therapist | 3030 Orchard Park Rd, West Seneca, NY 14224-4638 | 2008-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380365 | Hayley Widmer | Specialist | 369 Leydecker Rd, West Seneca, NY 14224-3704 | 2018-06-19 |
| 1477947299 | Kristin Wisnier | Specialist | 680 Cindy Ln, West Seneca, NY 14224-2430 | 2015-03-19 |
| 1356776405 | Sarah Dziewa | Specialist | 153 Liberty Ln, West Seneca, NY 14224-3739 | 2013-09-09 |
| 1063777803 | Carolyn Haggerty | Specialist | 160 Laurelton Dr, West Seneca, NY 14224-3914 | 2012-07-09 |
| 1255693669 | Lori Jean Southworth | Specialist | 1112 Indian Church Rd, # 27, West Seneca, NY 14224-1330 | 2012-06-12 |
| 1912144650 | Elle Therapeutic Massage | Specialist | 1021 Union Rd, West Seneca, NY 14224-3401 | 2009-01-16 |
| 1366691248 | Melissa Lynn Telecky | Specialist | 58 Briarwood Dr, West Seneca, NY 14224-1904 | 2008-09-16 |
| 1699921049 | Karen Galluch | Specialist | 126 Lexington Grn, West Seneca, NY 14224-1059 | 2008-08-15 |
| 1356514285 | Sudhakar Perala Rao | Specialist | 725 Orchard Park Rd Ste F, West Seneca, NY 14224-3352 | 2008-04-11 |
| 1083884142 | Lgr Imaging, PC | Specialist | 4154 Seneca Street, West Seneca, NY 14224-3053 | 2008-03-05 |
| Find all providers in WEST SENECA | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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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.