THEODORE P PRAWAK (NPI# 1144334053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144334053 |
| Entity Type | Individual |
| Full Name | THEODORE P PRAWAK |
| Credential | M.D. |
| Practice Address |
1320 Walden Ave Buffalo NY 14211-2822 |
| Practice Telephone | 7168919444 |
| Practice Fax Number | 7168919445 |
| Mailing Telephone | 7168919444 |
| Mailing Fax Number | 7168919445 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 108780 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS OF WNY | 000503478601 | 01 |
| NY | 00582852 | 05 | |
| NY | INDEPENDENT HEALTH | 0803974 | 01 |
| Street Address |
1320 WALDEN AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14211-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225145485 | Alexsandra Prawak-pasieka | Internal Medicine | 1320 Walden Ave, Buffalo, NY 14211-2822 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760622732 | Christina Charlene Riley-hargrave | Licensed Practical Nurse | 42 Newbergh Avenue, Buffalo, NY 14211 | 2009-03-03 |
| 1558432039 | Chet Cardinale | Acupuncturist | 1046 Walden Ave, Cheektowaga, NY 14211 | 2006-11-13 |
| 1598864373 | Raymond Paul Mangold | Pharmacist | 1408 Fillmore Ave, Buffalo, NY 14211 | 2006-09-21 |
| 1124382452 | Lydia Coyle | Social Worker | 20 Rich St, Buffalo, NY 14211 | 2012-07-02 |
| 1003952177 | Rachel Bunch-mccarley | Social Worker | 840 Humboldt Pkwy, Buffalo, NY 14211 | 2007-01-29 |
| 1811240534 | Yvonne Michele Piper | Licensed Practical Nurse | 596 E Ferry St, Buffalo, NY 14211-1110 | 2012-10-18 |
| 1922526169 | Mohamed Alawdi | Taxi | 660 Humboldt Pkwy, Buffalo, NY 14211-1114 | 2017-09-08 |
| 1134612583 | Tiffany Banks | Licensed Practical Nurse | 71 Inter Park Ave, Buffalo, NY 14211-1117 | 2018-06-11 |
| 1548297328 | Winston George Douglas | Internal Medicine | 840 Humboldt Pkwy, Buffalo, NY 14211-1217 | 2006-06-27 |
| 1043528409 | Winston G Douglas Md PC | Family Medicine | 840 Humboldt Pkwy, Buffalo, NY 14211-1217 | 2010-09-20 |
| Find all providers in zip 14211 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177425 | Dilip J. Patel | Ophthalmology | 65 Wehrle Dr, Buffalo, NY 14225-1021 | 2006-07-17 |
| 1245282524 | Melissa Ada Louise Neal | Ophthalmology | 410 Elmwood Ave, Lower Floor, Buffalo, NY 14222-2210 | 2006-05-16 |
| 1013981836 | Saralyn Notaro-rietz | Ophthalmology | 4476 Main St, Buffalo, NY 14226-4463 | 2006-02-16 |
| 1093792483 | Sangita P Patel | Ophthalmology | 1176 Main St, Buffalo, NY 14209 | 2005-12-27 |
| 1548254840 | David Jeffrey Rodman | Ophthalmology | 85 High St, Buffalo, NY 14203-1149 | 2005-09-01 |
| 1477554566 | George W Pfohl | Ophthalmology | 932 Elmwood Ave, Buffalo, NY 14222-1212 | 2005-08-10 |
| 1255337978 | Charles Michael Yancey | Ophthalmology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2005-06-27 |
| 1497284731 | Mostafa Mohamed Ezzat Hamza A Mazen | Ophthalmology | 1176 Main St, Buffalo, NY 14209-2102 | 2017-06-09 |
| 1609202027 | Hongjie Ma | Ophthalmology | 3435 Main St, Farber Hall 301, Buffalo, NY 14214-3001 | 2013-09-17 |
| 1558625293 | John Hunt Lillvis | Ophthalmology | 1176 Main St, Buffalo, NY 14209 | 2012-06-27 |
| Find all providers in BUFFALO | ||||
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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.