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).
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 |
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 |
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 |
Street Address |
3085 HARLEM ROAD SUITE 200 |
City | CHEEKTOWAGA |
State | NY |
Zip Code | 14225-2591 |
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 |
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 Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
City | CHEEKTOWAGA |
Zip Code | 14225 |
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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.