DR. JERRY TRACY III (NPI# 1477506251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477506251 |
| Entity Type | Individual |
| Full Name | DR. JERRY TRACY III |
| Credential | MD |
| Practice Address |
100 College Pkwy Ste 160 Williamsville NY 14221-6800 |
| Practice Telephone | 7166269900 |
| Mailing Telephone | 7166269900 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
225048 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02317866 | 05 |
| Street Address |
100 COLLEGE PKWY STE 160 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-6800 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174530299 | Romath Waghmarae | Anesthesiology | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
| 1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
| 1790322477 | Bay Ridge Medical Care Pllc | Anesthesiology | 370 Bay Ridge Pkwy Lowr Level, Brooklyn, NY 11209-3176 | 2019-12-02 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1467010751 | Health Quest Medical Practice, PC | Anesthesiology | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2019-05-31 |
| 1619531910 | Aristide Burducea, D.o LLC | Anesthesiology | 21925 Peck Ave, Queens Village, NY 11427-1121 | 2019-04-23 |
| 1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
| 1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
| 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.