MS. JESSICA RAE CASTRO (NPI# 1407215247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407215247 |
| Entity Type | Individual |
| Full Name | MS. JESSICA RAE CASTRO |
| Credential | PA-C |
| Practice Address |
61 Maple Rd Williamsville NY 14221-2918 |
| Mailing Address |
1150 Youngs Rd Ste 104 Williamsville NY 14221-8024 |
| Practice Telephone | 7165651234 |
| Practice Fax Number | 7165651246 |
| Mailing Telephone | 7166367979 |
| Mailing Fax Number | 7166367993 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 019536 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 019536 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757785 | Jessica Castro | Registered Nurse | 9410 Jamaica Ave, Woodhaven, NY 11421-2221 | 2014-07-07 |
| 1568618767 | Jessica Castro | Psychologist | 112 Meadow Lake Rd, Los Lunas, NM 87031-9449 | 2008-08-07 |
| 1689299307 | Jessica Castro | Family Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-06-09 |
| 1639708548 | Jessica Castro | Occupational Therapist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-02 |
| 1124661376 | Jessica Lindsay Castro | Case Manager/Care Coordinator | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2019-10-21 |
| 1992235360 | Jessica Castro | Licensed Vocational Nurse | 6600 E Ben White Blvd, Austin, TX 78741-7537 | 2017-06-18 |
| 1760867097 | Jessica Castro | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2015-07-28 |
| 1265718282 | Jessica Castro | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2011-10-24 |
| Street Address |
61 MAPLE RD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692267 | Bonnie A Mcmichael | Internal Medicine | 61 Maple Rd, Williamsville, NY 14221-2918 | 2005-07-11 |
| 1962904607 | Megan Granchelli | Nurse Practitioner | 61 Maple Rd, Williamsville, NY 14221-2918 | 2018-03-07 |
| 1841671989 | Lauren Lowe | Nurse Practitioner | 61 Maple Rd, Williamsville, NY 14221-2918 | 2015-06-15 |
| 1659669398 | Rachel Elise Liberati | Nurse Practitioner | 61 Maple Rd, Williamsville, NY 14221-2918 | 2011-07-15 |
| 1134132970 | Patricia Lee Hoffarth | Nurse Practitioner | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-08-14 |
| 1811944820 | Erika Lynn Brown | Physician Assistant | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-05-27 |
| 1225085053 | Family Care Physician, P.C. | Internal Medicine | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-05-27 |
| 1194773283 | Northtowns Imaging PC | Radiology | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-05-04 |
| 1700841756 | Vito Daniel Palumbo | Family Medicine | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-04-20 |
| 1871558825 | John A Leone | Internal Medicine | 61 Maple Rd, Williamsville, NY 14221-2918 | 2006-04-20 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1225661671 | Edward John Rutkowski | Physician Assistant | 10 Forestglen Cir, Williamsville, NY 14221-1359 | 2020-02-13 |
| 1215491600 | Amber L Phillippi | Physician Assistant | 19 Limestone Dr Ste 11, Williamsville, NY 14221-7091 | 2019-01-30 |
| 1437625035 | Chelsea Nicole Giaraffa | Physician Assistant | 55 Spindrift Dr Ste 101, Williamsville, NY 14221-7891 | 2018-10-22 |
| 1356744650 | Avriel Sarah Kopp | Physician Assistant | 6645 Main St. Suite B, Ent Care of Wny, Williamsville, NY 14221 | 2014-09-30 |
| 1912294471 | Shane Patrick Griffin | Physician Assistant | 5500 Main St Ste 107, Williamsville, NY 14221-6766 | 2011-07-06 |
| 1124330048 | Victoria Elizabeth Grudzinski | Physician Assistant | 1020 Youngs Rd Ste 110, Williamsville, NY 14221-2698 | 2010-07-08 |
| 1740502301 | Scott Wilkowski | Physician Assistant | 297 Spindrift Dr Ste 100, Williamsville, NY 14221-7894 | 2010-02-24 |
| 1215183579 | Danielle Lynn Vandette | Physician Assistant | 1120 Youngs Road, Williamsville, NY 14221 | 2008-08-18 |
| 1114104593 | Kristin Nicole Kager | Physician Assistant | 6255 Sheridan Dr, Williamsville, NY 14221-4836 | 2008-01-28 |
| 1306040480 | Carrie E Mcpherson | Physician Assistant | 18 Limestone Dr Ste 5, Williamsville, NY 14221-8602 | 2007-06-13 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.