AMY JEANENE MUNRO (NPI# 1366447765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366447765 |
| Entity Type | Individual |
| Full Name | AMY JEANENE MUNRO |
| Credential | PA-C |
| Practice Address |
3884 Broadway Cheektowaga NY 14227-1104 |
| Practice Telephone | 7169819000 |
| Practice Fax Number | 7162561079 |
| Mailing Telephone | 7166819000 |
| Mailing Fax Number | 7162561079 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008116-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WELLCARE | 1039551 | 01 |
| NY | TODAY'S OPTION | 113653686118 | 01 |
| NY | 02345504 | 05 | |
| NY | MVP | PC139377 | 01 |
| NY | AETNA | 9776524 | 01 |
| NY | CIGN | 0945293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972719268 | Amy J Munro | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2007-05-15 |
| Street Address |
3884 BROADWAY |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14227-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700650 | Bohdan Jerzy Kawinski | Internal Medicine | 3884 Broadway, Cheektowaga, NY 14227-1104 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659819159 | Alanna Marie Guerrero | Registered Nurse | 341 Como Park Blvd, Cheektowaga, NY 14227 | 2017-02-03 |
| 1770846354 | Danielle Valint | Specialist | 2980 William Street, Cheektowaga, NY 14227 | 2012-06-19 |
| 1124304878 | Kathleen Napieralski | Registered Nurse | 305 Cayuga Creek Road, Cheektowaga, NY 14227 | 2011-10-26 |
| 1790081388 | Amy Sue Blochberger | Licensed Practical Nurse | 50 Yvette, Cheektowaga, NY 14227 | 2011-01-31 |
| 1992005177 | Michael Donlon | Speech-Language Pathologist | 7 Lille Lane, Buffalo, NY 14227 | 2010-10-22 |
| 1841516770 | Phoebe Jean Pierce | Specialist | 2875 Union Rd. Suite 350, Cheektowaga, NY 14227 | 2010-04-16 |
| 1437474418 | Pulse Health and Fitness | Preferred Provider Organization | 2875 Union Road, Suite 350, Cheektowaga, NY 14227 | 2010-04-01 |
| 1356595474 | Maria Elaine Gambino | Specialist | 928 French Rd., Cheektowaga, NY 14227 | 2008-11-17 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1508028465 | Darryl Gies | Pharmacist | 2851 Broadway St, Attn: Central Fill Manager, Cheektowaga, NY 14227 | 2008-07-01 |
| Find all providers in zip 14227 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997193 | Michael Jeffrey Gandt | Physician Assistant | 861 George Urban Blvd, Cheektowaga, NY 14225-4203 | 2018-10-05 |
| 1669094140 | Abby Leigh Clulow | Physician Assistant | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2020-05-07 |
| 1477103448 | Mary Elizabeth Wesolowski | Physician Assistant | 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 | 2019-09-12 |
| 1679135297 | Anna Christine Mcgorry | Physician Assistant | 2355 Union Rd, Cheektowaga, NY 14227-2234 | 2019-07-03 |
| 1548821150 | Emily D Gray | Physician Assistant | 2625 Harlem Rd Ste 240, Cheektowaga, NY 14225-4031 | 2019-06-25 |
| 1972072098 | Christopher Barbolini | Physician Assistant | 3091 William St, Cheektowaga, NY 14227-1919 | 2018-11-19 |
| 1073094769 | Krista Lauren Blask | Physician Assistant | 2605 Harlem Rd, Cheektowaga, NY 14225-4018 | 2018-08-22 |
| 1275027112 | Katrina Michelle Vankouwenberg | Physician Assistant | 3085 Harlem Rd, Cheektowaga, NY 14225-2591 | 2018-06-14 |
| 1942709357 | Marina Nicole Maslek | Physician Assistant | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2018-02-12 |
| 1255863130 | Kyle Cullen | Physician Assistant | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2017-03-30 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14227 |
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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.