NORTHTOWN PODIATRY GROUP PC (NPI# 1447277280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447277280 |
| Entity Type | Organization |
| Organization Name | NORTHTOWN PODIATRY GROUP PC |
| Practice Address |
2121 Main St Suite 214 Buffalo NY 14214-2693 |
| Practice Telephone | 7168382983 |
| Practice Fax Number | 7168382942 |
| Mailing Telephone | 7168382983 |
| Mailing Fax Number | 7168382942 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SEAN E KEATING (PRESIDENT) |
| Authorized Official Telephone | 7168382983 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01001743 | 05 | |
| NY | GHI | 1499938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558580704 | Northtown Podiatry Group PC | Durable Medical Equipment & Medical Supplies | 2121 Main St, Suite 214, Buffalo, NY 14214-2693 | 2007-04-25 |
| 1508082223 | Northtown Podiatry Group PC | Durable Medical Equipment & Medical Supplies | 9600 Main St, Clarence, NY 14031-2002 | 2007-04-18 |
| Street Address |
2121 MAIN ST SUITE 214 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629573076 | Dana Marie Brimmer | Student in an Organized Health Care Education/Training Program | 2121 Main St, Buffalo, NY 14214-2693 | 2018-03-28 |
| 1619493780 | Kiersten Leigh Habdo | Physician Assistant | 2121 Main St, Buffalo, NY 14214-2693 | 2017-08-20 |
| 1154773570 | Jessica Zinaty | Dentist | 2121 Main St, #310, Buffalo, NY 14214-2693 | 2016-07-09 |
| 1295183606 | Blair Braunstein | Dentist | 2121 Main St, Suite 310, Buffalo, NY 14214-2693 | 2016-05-25 |
| 1235558818 | Jules Bodo | Podiatrist | 2121 Main St, Ste 214, Buffalo, NY 14214-2693 | 2014-04-10 |
| 1457794398 | Maria Lc Labi Md Pllc | Physical Medicine & Rehabilitation | 2121 Main St, Suite 210, Buffalo, NY 14214-2693 | 2013-04-10 |
| 1558632281 | Mckenzie Boone | Nurse Anesthetist, Certified Registered | 2121 Main St, Ste 209, Buffalo, NY 14214-2693 | 2012-01-26 |
| 1902177876 | Molly Mason | Nurse Anesthetist, Certified Registered | 2121 Main St, Suite 209, Buffalo, NY 14214-2693 | 2012-01-24 |
| 1063711992 | Academic Buffalonias In Physical Medicine & Rehabilitation PC | Physical Medicine & Rehabilitation | 2121 Main St, Suite 112, Buffalo, NY 14214-2693 | 2011-03-17 |
| 1275838922 | Patricia Nowak | Nurse Anesthetist, Certified Registered | 2121 Main St, Ste 209, Buffalo, NY 14214-2693 | 2011-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073814729 | Thomas A. Hassenfratz Dpm | Podiatrist | 380 Cleveland Dr, Buffalo, NY 14215-1922 | 2010-11-11 |
| 1255573887 | Breeann N Wilson | Podiatrist | 1094 E Lovejoy St, Buffalo, NY 14206-1127 | 2009-03-27 |
| 1811188246 | Damian Victor Turski | Podiatrist | 2 Ravenswood Ter, Buffalo, NY 14225-1126 | 2007-08-09 |
| 1659562205 | Devincentis Dpm Devincentis Dpm PC | Podiatrist | 1094 Lovejoy St, Buffalo, NY 14206-1127 | 2007-08-08 |
| 1851451397 | Aaron Weisbrot | Podiatrist | 1241 Colvin Blvd, Buffalo, NY 14223-1435 | 2006-12-12 |
| 1891860128 | Frank B Perillo | Podiatrist | 1431 Hertel Ave, Buffalo, NY 14216-2826 | 2006-11-21 |
| 1376615963 | Robert J Ciepiela | Podiatrist | 2992 Bailey Ave, Buffalo, NY 14215-2812 | 2006-11-15 |
| 1629140587 | Barry J Fitzgerald | Podiatrist | 843 Mckinley Pkwy, Buffalo, NY 14220-1338 | 2006-11-15 |
| 1306925391 | Duane N. Turski | Podiatrist | 2 Ravenswood Ter., Buffalo, NY 14225-1126 | 2006-11-02 |
| 1508964693 | John M Aquino | Podiatrist | 2047 Clinton Street, Buffalo, NY 14206 | 2006-09-20 |
| Find all providers in BUFFALO | ||||
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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.