EAST AURORA PEDIATRICS (NPI# 1447212139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447212139 |
| Entity Type | Organization |
| Organization Name | EAST AURORA PEDIATRICS |
| Practice Address |
94 Olean St East Aurora NY 14052-2531 |
| Practice Telephone | 7166520237 |
| Practice Fax Number | 7166520983 |
| Mailing Telephone | 7166520237 |
| Mailing Fax Number | 7166520983 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | BARBARA J JORDAN (CERTIFIED MEDICAL OFFICE MANAGER) |
| Authorized Official Telephone | 7166520237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PNP | 1417952920 | 01 |
| NY | MD | 1437121480 | 01 |
| NY | PNP | 1124023650 | 01 |
| NY | MD | 1528063039 | 01 |
| NY | MD | 1568467090 | 01 |
| NY | MD | 1982609491 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST AURORA PEDIATRICS, P.C. | 94 Olean St. Suite 210, Ste. 210, East Aurora, Ny 14052 |
| Street Address |
94 OLEAN ST |
| City | EAST AURORA |
| State | NY |
| Zip Code | 14052-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063039 | Marilyn A Barker | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1801217179 | Melissa Ramsay | Physical Therapist | 94 Olean St, East Aurora, NY 14052-2531 | 2014-01-03 |
| 1356472690 | Kip Alan Palmateer | Specialist/Technologist | 94 Olean St, East Aurora, NY 14052-2531 | 2007-03-08 |
| 1437121480 | Anju Gupta | Pediatrics | 94 Olean St, Suite 210, East Aurora, NY 14052-2596 | 2006-02-03 |
| 1841285269 | Carol J Froehlich | Social Worker | 94 Olean St, East Aurora, NY 14052-2531 | 2005-09-12 |
| 1326045469 | Michael John Curry | Podiatrist | 94 Olean St, Suite 214, East Aurora, NY 14052-2531 | 2005-07-05 |
| 1982609491 | Dorothea A Downey | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1417952920 | Ellen M Hayes | Nurse Practitioner | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1568467090 | Myron R Siegel | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1124023650 | Beth M Nicastro | Licensed Practical Nurse | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457806960 | Hannah Howard | Case Manager/Care Coordinator | 1268 Blakeley Corners Road, East Aurora, NY 14052 | 2016-08-25 |
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1265785240 | Diana Wittrock | Licensed Practical Nurse | 1080 N Davis Rd, East Aurora, NY 14052 | 2012-10-16 |
| 1437468162 | Gerard Earlwyn Schultz | Family Medicine | 351 Girdle Rd., East Aurora, NY 14052 | 2010-09-29 |
| 1386969541 | Frederick Carl Nuessle | Family Medicine | 38 Elm St., East Aurora, NY 14052 | 2010-03-31 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1235256413 | Robert R Meisner | Dentist | 250 Quaker Rd, East Aurora, NY 14052 | 2007-03-23 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1689754525 | Westermeier & Martin Dental Care Pllc | Dentist | 950 East Main Street, East Aurora, NY 14052 | 2006-10-16 |
| Find all providers in zip 14052 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063039 | Marilyn A Barker | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1982609491 | Dorothea A Downey | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| 1568467090 | Myron R Siegel | Pediatrics | 94 Olean St, Ste 210, East Aurora, NY 14052-2531 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| Find all providers with the same taxonomy | ||||
| City | EAST AURORA |
| Zip Code | 14052 |
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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.