NICOLE C SCOVAZZO (NPI# 1306023866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306023866 |
| Entity Type | Individual |
| Full Name | NICOLE C SCOVAZZO |
| Other Name | NICOLE C ROSSNEY |
| Credential | PA-C |
| Practice Address |
30 N Union Rd Ste 104 Buffalo NY 14221-5367 |
| Mailing Address |
908 Niagara Falls Blvd Ste 208 North Tonawanda NY 14120-2019 |
| Practice Telephone | 7165653990 |
| Practice Fax Number | 7165653988 |
| Mailing Telephone | 7166923302 |
| Mailing Fax Number | 7166924342 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
012391 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 N Union Rd Ste 104, Buffalo, NY 142215367 | 7165653990 | 7165653988 |
| Street Address |
30 N UNION RD STE 104 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14221-5367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316460413 | Katherine Susanne Miller | Physician Assistant | 2121 Main St Ste 316, Buffalo, NY 14214-2673 | 2017-07-20 |
| 1730294851 | Patrick Losito | Physician Assistant | 515 Abbott Rd., Suite 101, Buffalo, NY 14220 | 2006-08-20 |
| 1295760619 | Brenda Leaird Kelly | Physician Assistant | 899 Main Street, William E Mosher Health Center, Buffalo, NY 14203 | 2006-07-12 |
| 1033167127 | Jennifer Lynn Noble | Physician Assistant | 875 Ellicott Street, Gates Vascular Institute, Buffalo, NY 14203 | 2006-05-04 |
| 1386626117 | Andrew M Dybalski | Physician Assistant | 700 Michigan Ave, Buffalo, NY 14203-1514 | 2005-11-17 |
| 1548828031 | Chloe Anna Carver | Physician Assistant | 462 Grider St, Buffalo, NY 14215-3098 | 2019-05-30 |
| 1770084329 | Rachel Michele Watt | Physician Assistant | 2157 Main St, Buffalo, NY 14214-2648 | 2018-02-27 |
| 1194255505 | Kurtis Matthew Downey | Physician Assistant | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2017-06-18 |
| 1124420369 | Kathryn Wirth | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2014-09-18 |
| 1932513991 | Neal Siejka | Physician Assistant | 700 Michigan Ave, Suite 210, Buffalo, NY 14203-1536 | 2014-06-18 |
| 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.