CHRISTOPHER J KWACZALA (NPI# 1366765265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366765265 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER J KWACZALA |
| Credential | PA |
| Practice Address |
621 10th St Niagara Falls NY 14301-1813 |
| Mailing Address |
908 Niagara Falls Blvd Ste 208 North Tonawanda NY 14120-2019 |
| Practice Telephone | 7167108266 |
| Practice Fax Number | 7167108267 |
| Mailing Telephone | (716) 692-3302 |
| Mailing Fax Number | 7166924342 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013885-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
013885-1 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03220335 | 05 |
| Street Address |
621 10TH ST |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14301-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332462 | Muriel Forte | Registered Nurse | 621 10th St, Niagara Falls, NY 14301-1813 | 2005-11-07 |
| 1790396877 | Jennifer Anne Tracy | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-08-12 |
| 1790393585 | John Anthony Copas | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-17 |
| 1437767647 | Ryan Paul Vansice | Pharmacist | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-14 |
| 1376169409 | Maggen (meg) Daunce | Counselor | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-06-24 |
| 1144842816 | Niagara Falls Memorial Medical Center | General Acute Care Hospital | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-05-15 |
| 1487275749 | Jaspinderpal Singh Bhullar | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-28 |
| 1033738125 | Huma Tahir | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-09 |
| 1295372498 | Maureen Velasco | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
| 1467099606 | Karon Hubert | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559354 | Shelita H Pugh | Licensed Practical Nurse | 1320 Lasalle Ave., Niagara Falls, NY 14301 | 2020-08-20 |
| 1043664758 | Sevan Evren | Internal Medicine | 533 Tenth Street, Niagara Falls, NY 14301 | 2016-04-19 |
| 1396106423 | Cidalia Cota | Massage Therapist | 3507 Pine Ave, Niagara Falls, NY 14301 | 2016-03-17 |
| 1669878203 | Maureen Lester | Dietitian, Registered | 612 -10th Street, Niagara Falls, NY 14301 | 2014-11-10 |
| 1972855997 | Julia A Sturdivant | Registered Nurse | 910 Hyde Park Boulevard, Niagara Falls, NY 14301 | 2012-10-15 |
| 1760762611 | Daniel James Ort | Counselor | 1001 11 St, Northpointe Council Inc., Niagara Falls, NY 14301 | 2011-08-24 |
| 1013246164 | Dawn Cheryl Phillips | Counselor | 1001 11th St., Northpointe Council Inc., Niagara Falls, NY 14301 | 2009-12-21 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1356505465 | Cassandra Marie Carter | Registered Nurse | 2020 Woodlawn Ave, Niagara Falls, NY 14301 | 2008-07-17 |
| 1013179951 | Ameeta Manhas | Psychiatry & Neurology | 621 Tenth Street., Niagara Falls, NY 14301 | 2008-07-01 |
| Find all providers in zip 14301 | ||||
| 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 |
|---|---|---|---|---|
| 1962030494 | Mandeep Singh | Physician Assistant | 2563 Military Rd, Niagara Falls, NY 14304-1505 | 2020-03-30 |
| 1912008830 | Jennifer Lajko | Physician Assistant | 732 Portage Rd, Niagara Falls, NY 14301-1924 | 2006-09-25 |
| 1245860840 | Alan Vlieg | Physician Assistant | 549 4th St, Niagara Falls, NY 14301-1530 | 2020-01-22 |
| 1326694597 | Marla J. Calabro | Physician Assistant | 620 10th St Ste 704, Niagara Falls, NY 14301-1841 | 2019-08-14 |
| 1982183661 | Kaity Molenda | Physician Assistant | 3117 Military Rd, Niagara Falls, NY 14304-4813 | 2018-08-13 |
| 1184103020 | Debra A Buscaglia | Physician Assistant | 3117 Military Rd, Niagara Falls, NY 14304-4813 | 2018-08-10 |
| 1518450220 | Anastasja Waugaman | Physician Assistant | 3101 9th St, Niagara Falls, NY 14305-1929 | 2018-06-08 |
| 1326569849 | Shannon Anne Coleman | Physician Assistant | 533 10th St, Niagara Falls, NY 14301-1870 | 2017-07-06 |
| 1346692282 | Kristen Michelle Bergemann | Physician Assistant | 621 10th St, Niagara Falls, NY 14301-1813 | 2016-07-04 |
| 1386955748 | Laura Marjorie Malysza | Physician Assistant | 621 10th St, Niagara Falls, NY 14301-1813 | 2010-06-30 |
| Find all providers in NIAGARA FALLS | ||||
| City | NIAGARA FALLS |
| Zip Code | 14301 |
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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.