PRAMILA PENTA (NPI# 1386604452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386604452 |
| Entity Type | Individual |
| Full Name | PRAMILA PENTA |
| Credential | MD |
| Practice Address |
120 Gardenville Pkwy W West Seneca NY 14224-1324 |
| Mailing Address |
120 Gardenville Pkwy W C/o Credentialing West Seneca NY 14224-1324 |
| Practice Telephone | 7166683600 |
| Practice Fax Number | 7166564274 |
| Mailing Telephone | 7168576150 |
| Mailing Fax Number | 7166564074 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44378 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 081124000086 | 01 |
| NY | INDEPENDENT HEALTH | 115366 | 01 |
| NY | GOLDCHOICE | 1544090 | 01 |
| NY | AETNA | 7956417 | 01 |
| NY | UNIVERA | 1386604452 | 01 |
| NY | BLUECROSS BLUESHIELD WNY | 000530953001 | 01 |
| NY | MVP | 235201BF | 01 |
| Street Address |
120 GARDENVILLE PKWY W |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704753 | Genesee Valley Group Health | Clinic/Center | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2014-06-09 |
| 1548465115 | Sharon Fitzgerald | Pharmacist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2007-06-15 |
| 1578697892 | Genesee Valley Group Health Association | Clinic/Center | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2007-03-16 |
| 1023144524 | Mary Chima | Family Medicine | 120 Gardenville Pkwy W, Afterhours Urgent Care, West Seneca, NY 14224-1324 | 2007-02-26 |
| 1952449647 | Lynn Noelle Ciccone | Massage Therapist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2007-02-02 |
| 1265587398 | Karen Caligiuri | Massage Therapist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2007-01-25 |
| 1366506768 | Carrie Griffin-owens | Massage Therapist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2006-12-20 |
| 1710051594 | Thomas William Mannion | Pharmacist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2006-11-20 |
| 1538249289 | Joan K Bub | Pharmacist | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2006-10-17 |
| 1740381946 | Kellie E Heftka | Physician Assistant | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023495561 | Alisha Lall | Family Medicine | 725 Orchard Park Rd Ste A, West Seneca, NY 14224-3352 | 2015-05-05 |
| 1790816387 | Thomas E. Degrave, Do,llc | Family Medicine | 4040 Clinton St, West Seneca, NY 14224-1519 | 2007-03-08 |
| 1619934601 | Bijay P. Ghoorah | Family Medicine | 736 Union Rd, West Seneca, NY 14224-3423 | 2006-04-26 |
| 1093776445 | David J Novelli | Family Medicine | 256 Center Rd, West Seneca, NY 14224-1947 | 2006-03-28 |
| 1841283629 | Geemson Oo | Family Medicine | 3775 Seneca Street, West Seneca, NY 14224 | 2005-08-26 |
| 1134591019 | David S. Clifford, Md | Family Medicine | 256 Center Rd, West Seneca, NY 14224-1947 | 2015-10-30 |
| 1851772354 | Anh-thu Ho Nguyen | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2015-06-11 |
| 1578941613 | Erica Redenbach | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2015-05-08 |
| 1861837361 | Brandon James Brownell | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2013-05-09 |
| 1770882441 | Richard Stephen Karaga | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2011-03-21 |
| Find all providers in WEST SENECA | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on PRAMILA PENTA.
| 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.