HAMBURG NURSE PRACTITIONERS IN ADULT & FAMILY HEALTH CARE PLLC (NPI# 1053755876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053755876 |
| Entity Type | Organization |
| Organization Name | HAMBURG NURSE PRACTITIONERS IN ADULT & FAMILY HEALTH CARE PLLC |
| Other Organization Name | HAMBURG PRIMARY CARE |
| Practice Address |
4535 Southwestern Blvd Suite 705 Hamburg NY 14075-1860 |
| Practice Telephone | 7166483300 |
| Practice Fax Number | 7166483322 |
| Mailing Telephone | 7166483300 |
| Mailing Fax Number | 7166483322 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | MARY CATHERINE CERRILLO (DNP ANP - OWNER OF PRACTICE) |
| Authorized Official Telephone | 7166483300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
335722 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Hamburg Primary Care | Doing Business As Name - Organization |
| Street Address |
4535 SOUTHWESTERN BLVD SUITE 705 |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295056 | Robert La Duca | Family Medicine | 4535 Southwestern Blvd, Unit 202, Hamburg, NY 14075-1860 | 2006-02-22 |
| 1316509540 | Brittany Bender | Occupational Therapist | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 | 2019-07-09 |
| 1225541196 | Renee Sarah Slemmer | Counselor | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 | 2017-11-14 |
| 1629528831 | Julia Spencer | Specialist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2016-10-12 |
| 1760931182 | Kelly Carriero | Specialist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2016-09-27 |
| 1174989586 | Lynn Kunz | Specialist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2016-01-14 |
| 1255716635 | Stacy Smith | Speech-Language Pathologist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2015-07-27 |
| 1023496460 | Nicole Ceppaglia | Speech-Language Pathologist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2015-05-18 |
| 1346627965 | Sondra Reid | Specialist | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2015-05-04 |
| 1902294564 | Turning Point Behavioral Services | Community/Behavioral Health | 4535 Southwestern Blvd, Suite 203, Hamburg, NY 14075-1860 | 2015-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851763643 | Jessica Heffelfinger | Nurse Practitioner | 9 Dave's Way, Hamburg, PA 19526-3096 | 2015-10-20 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1386950244 | Theresa Ann Weremblewski | Nurse Practitioner | 4477 Lake Shore Rd, Hamburg, NY 14075-1407 | 2010-08-28 |
| 1447884085 | Kathryn Ryan | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2020-02-22 |
| 1134761471 | Janele Noworyta | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2019-10-08 |
| 1487111399 | Colleen Trahey | Nurse Practitioner | 31 State Rt 23 N, Hamburg, NJ 07419-1434 | 2019-02-27 |
| 1710347943 | Jennifer Leigh Black | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2016-03-01 |
| 1033597802 | Tracey Ellen Longstreth | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2015-05-13 |
| 1689098378 | Kelly Schillinger | Nurse Practitioner | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 | 2014-02-14 |
| 1821350232 | Rebecca Lynn Amos | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2012-06-12 |
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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.