DR. NIELS ULRICH GOTHGEN (NPI# 1508952573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952573 |
| Entity Type | Individual |
| Full Name | DR. NIELS ULRICH GOTHGEN |
| Credential | M.D. |
| Practice Address |
50 Lakefront Blvd Suite 130 Buffalo NY 14202-4345 |
| Practice Telephone | 7168498750 |
| Practice Fax Number | 7168498757 |
| Mailing Telephone | 7168498750 |
| Mailing Fax Number | 7168498757 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 241874 | NY | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
241874 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
50 LAKEFRONT BLVD SUITE 130 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929658 | Ratnakumar S Newton | Family Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2005-08-22 |
| 1043697501 | Keira Siobhan Mccarthy | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2015-05-04 |
| 1699107011 | Judith Ann Bell | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2013-08-08 |
| 1821437120 | Sherry L Wheelock | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4327 | 2013-06-19 |
| 1538424650 | Ipc Hospitalist Services of New York, P.C. | Internal Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2012-07-05 |
| 1003105610 | Merry Lyn Green | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2011-04-04 |
| 1710286141 | Jodi L Witman | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2011-03-24 |
| 1407172323 | Steven Buslovich | Internal Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2010-04-16 |
| 1215250279 | Shannon D Marzullo | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2010-03-04 |
| 1184852840 | Elizabeth M Harding | Family Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2009-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 |
|---|---|---|---|---|
| 1760025738 | Jessica Victoria Miller | Anesthesiology | 100 High St, Buffalo, NY 14203-1154 | 2019-10-23 |
| 1205022365 | Stephen Robert Goodnough | Anesthesiology | 100 High Street, Buffalo General Hospital, Buffalo, NY 14203 | 2007-09-21 |
| 1568439222 | Catalina Ionita | Anesthesiology | 2157 Main St, Sisters of Charity Hospital, Buffalo, NY 14214-2648 | 2006-03-02 |
| 1770574188 | Diane Peters Koren | Anesthesiology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001083 | Norman Albert Ernst Jr. | Anesthesiology | 210 Meadbrook Rd, Garden City, NY 11530-1211 | 2013-01-02 |
| 1245525252 | Emily Chanan | Anesthesiology | 525 East 68th St, New York, NY 10025 | 2011-06-17 |
| 1932335395 | Issa Kallie Toure | Anesthesiology | 981 Union Ave Apt 5d, Bronx, NY 10459 | 2009-05-29 |
| 1548496904 | Kunal Panda | Anesthesiology | 601 Elmwood Ave Dept Of, Rochester, NY 14642-2604 | 2009-05-29 |
| 1467578211 | Erfan Hussain | Anesthesiology | Nsuh-dept of Med & Cricical Care Med, 300 Community Drive, Manhasset, NY 11030 | 2007-03-22 |
| 1922012277 | Hesaraghatta Buddappa Keshava | Anesthesiology | 1185 County Highway 122, Gloversville, NY 12078-6131 | 2006-07-29 |
| 1255373205 | Arvin H Chin | Anesthesiology | 29 Harrison St, New York, NY 10013-2705 | 2006-06-12 |
| 1083677678 | Robert M Constantine | Anesthesiology | 301 Prospect Avenue, Syracuse, NY 13203 | 2006-04-06 |
| 1841829819 | Ccmma Tx Pllc | Anesthesiology | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2020-04-02 |
| 1376103184 | Ayasha Choudhry Bettag | Anesthesiology | 1275 York Ave Dept Of, New York, NY 10065-6007 | 2019-06-14 |
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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.