MR. DATTATRAYA G. WAGLE


Address: 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591
Phone: 7168445000

MR. DATTATRAYA G. WAGLE (NPI# 1245204601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245204601
Entity Type Individual
Full Name MR. DATTATRAYA G. WAGLE
Credential M.D.
Practice Address 3085 Harlem Road
Suite 200
Cheektowaga
NY 14225-2591
Practice Telephone 7168445000
Practice Fax Number 7168445050
Mailing Telephone 7168445000
Mailing Fax Number 7168445050
Enumeration Date 2006-02-14
Last Update Date 2011-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology 100780 NY Allopathic & Osteopathic Physicians
Y 208800000X Urology 100780-1 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UHC/EMPIRE 160985156 01
NY UNIVERA INSURANCE 00010186401 01
NY 00611490 05
GHI 0040822 01
NY INDEP HEALTH INS 1901078 01
NY BLUE CROSS 00503784001 01
NY RAILROAD MEDICARE 342015205 01

Office Location

Street Address 3085 HARLEM ROAD
SUITE 200
City CHEEKTOWAGA
State NY
Zip Code 14225-2591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760455356 Philip J Aliotta Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-13
1477707198 Amy J Walter Physical Therapist 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2008-11-07
1386814572 Susan M Joseph Physician Assistant 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2008-03-04
1427011782 Dhiren K Shah Radiology 3085 Harlem Road, Suite 100, Cheektowaga, NY 14225 2006-04-08
1316911779 John V Pinski Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-14
1518931989 Mark D Chazen Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124639885 Jennifer Marki Specialist/Technologist 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 2020-08-14
1609498138 Schulz, Adult Health Np, Pllc Nurse Practitioner 678 Cleveland Drive, Cheektowaga, NY 14225 2020-05-06
1790252914 Jacob William Debell Student in an Organized Health Care Education/Training Program 3469 Harlem Road, Cheektowaga, NY 14225 2018-10-25
1114441284 Michael P Gugliuzza Emergency Medical Technician, Paramedic 239 Westbook Dr, Cheektowaga, NY 14225 2017-08-01
1841720307 Buffalo Dental Implant Dentist 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 2017-06-18
1396279741 Jacob Habermehl Specialist/Technologist 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 2017-04-12
1588196901 Cha Vu Dentist 2521 Walden Ave, Buffalo, NY 14225 2017-04-03
1881040244 Amanda Sanders Licensed Practical Nurse 21 Kingswood Dr, Cheektowaga, NY 14225 2016-05-04
1255748638 Valerie Knowles Licensed Practical Nurse 3527 Harlem Road, Cheektowaga, NY 14225 2014-07-17
1043569585 Mark Timothy Morreale Optometrist 2000 Walden Avenue, Cheektowaga, NY 14225 2012-08-30
Find all providers in zip 14225

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144464942 John Joseph Bodkin IIi Urology 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 2009-04-23
1760455356 Philip J Aliotta Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-13
1487650016 Joseph M Greco Urology 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2563 2005-06-28
1083251680 Karl-dietrich Max Gustav Sievert Urology 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 2019-12-03
1427271063 Western New York Urology Associates, LLC Urology 3085 Harlem Rd, Cheektowaga, NY 14225-2563 2007-04-11
1316911779 John V Pinski Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-14
1518931989 Mark D Chazen Urology 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 2006-02-14
1801886965 John M Roehmholdt Urology 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 2005-10-28
1174520696 Kevin J Barlog Urology 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 2005-06-30
1215934781 K Kent Chevli Urology 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 2005-06-30
Find all providers in CHEEKTOWAGA

Competitor

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City CHEEKTOWAGA
Zip Code 14225

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Dataset Information

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.

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