FREDERICK MICHAEL ELLIOTT, MD, PLLC (NPI# 1336487396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336487396 |
| Entity Type | Organization |
| Organization Name | FREDERICK MICHAEL ELLIOTT, MD, PLLC |
| Other Organization Name | ELMWOOD VILLAGE PRIMARY CARE |
| Practice Address |
897 Delaware Ave Ste 205 Buffalo NY 14209-2087 |
| Practice Telephone | 7167682006 |
| Practice Fax Number | 7167682007 |
| Mailing Telephone | 7167682006 |
| Mailing Fax Number | 7167682007 |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-01-26 |
| Authorized Official Name | FREDERICK MICHAEL ELLIOTT (PHYSICIAN AND OWNER) |
| Authorized Official Telephone | 7167682006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 236287 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elmwood Village Primary Care | Doing Business As Name - Organization |
| Street Address |
897 DELAWARE AVE STE 205 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-2087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080728 | Frederick Michael Elliott | Family Medicine | 897 Delaware Ave Ste 205, Buffalo, NY 14209-2087 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247155 | Erie County | Clinic/Center | 134 W Eagle St Ste 515, Buffalo, NY 14202-3800 | 2017-07-12 |
| 1801023890 | Harper County Community Hospital | Clinic/Center | 610 N. Hoy, Suite B, Buffalo, OK 73834-0600 | 2009-06-17 |
| 1346424520 | Lake Shore Behavioral Health | Clinic/Center | Lake Shore Behavioral Health, 254 Franklin Street, Buffalo, NY 14202 | 2007-12-24 |
| 1477635308 | Kaleida Health | Clinic/Center | 295 Carlton St, Buffalo, NY 14204-1126 | 2006-10-19 |
| 1922073774 | People Inc | Clinic/Center | 2128 Elmwood Avenue, Buffalo, NY 14207-1910 | 2006-02-22 |
| 1053811638 | Nutrition With Noelle P.C. | Clinic/Center | 2075 Sheridan Dr, Buffalo, NY 14223-1425 | 2018-02-20 |
| 1366953713 | Greater Buffalo United Association Inc | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2017-10-12 |
| 1568813111 | Health Essentials of Western New York, LLC | Clinic/Center | 1515 Kensington Ave, Buffalo, NY 14215-1436 | 2016-06-24 |
| 1285014522 | Simply Chiropractic LLC | Clinic/Center | 950 W Fetterman St, Buffalo, WY 82834-2413 | 2015-06-02 |
| 1487950838 | Allina Health System | Clinic/Center | 303 Catlin St, Buffalo, MN 55313-1947 | 2011-02-02 |
| 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.