NIAGARA MEDICINE, PC (NPI# 1467800227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467800227 |
Entity Type | Organization |
Organization Name | NIAGARA MEDICINE, PC |
Practice Address |
5300 Military Rd Lewiston NY 14092-1903 |
Practice Telephone | 7166510911 |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-12-27 |
Authorized Official Name | MR. GARY TUCKER (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 7166013766 |
Is Organization Subpart | Y |
Parent Organization Name | NIAGARA MEDICINE, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
Street Address |
5300 MILITARY RD |
City | LEWISTON |
State | NY |
Zip Code | 14092-1903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
1184252751 | Mount St. Mary's Hospital of Niagara Falls | Internal Medicine | 5300 Military Rd, Lewiston, NY 14092-1903 | 2020-03-30 |
1023656717 | Andrea Panzuto | Occupational Therapist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-12-13 |
1356985790 | Sean Fetzer | Pharmacist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-10-29 |
1982261574 | Jennifer Lynn Lute | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-05-20 |
1700343936 | Sara Louise Baker | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-02-24 |
1194299388 | Sophia Lorenda Overton | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-01-22 |
1104303270 | Samantha Renee Goldbach | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1997 | 2018-07-23 |
1679059455 | Allison Marie Van Den Brand | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2018-07-16 |
1740631894 | Megan Kosmoski | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2016-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083731103 | Barry A. Smith | Surgery | 307 Saint Johns Way Ste 4, Lewiston, ID 83501-2435 | 2007-03-23 |
1922184613 | Maria G Ikossi | Surgery | 99 Campus Ave Ste 401, Lewiston, ME 04240 | 2006-10-27 |
1275589905 | Christopher Al Moreno | Surgery | 307 St. Johns Way, Suite 11, Lewiston, ID 83501 | 2006-05-25 |
1841245354 | Joyce Arlene Majure | Surgery | 307 St. Johns Way Suite 11, Lewiston, ID 83501 | 2006-05-23 |
1134189434 | Catherine E Oconnor | Surgery | 99 Campus Ave., Suite 401, St Mary's Surgical Associates, Lewiston, ME 04240-6045 | 2006-03-23 |
1124097415 | Thomas L Moore | Surgery | 106 Campus Ave, Lewiston, ME 04240 | 2006-03-17 |
1326010695 | Michael Anthony Ricci | Surgery | Central Maine Cardiovascular Surgery, 60 High Street, Lewiston, ME 04240 | 2006-02-02 |
1497731269 | Lisa A Rutstein | Surgery | 12 High St Ste 205, Lewiston, ME 04240-7689 | 2005-12-22 |
1164405270 | Mark L Shapiro | Surgery | 93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 | 2005-11-22 |
1497042998 | Roberto Javier Vidri Alonso-rochi | Surgery | 99 Campus Ave Ste 401, St. Mary's Surgical Associates, Lewiston, ME 04240-6045 | 2011-07-05 |
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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.