EMG SPINE AND SPORTS MEDICINE, LLC (NPI# 1548354335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548354335 |
| Entity Type | Organization |
| Organization Name | EMG SPINE AND SPORTS MEDICINE, LLC |
| Practice Address |
80 Mead St North Tonawanda NY 14120-4435 |
| Mailing Address |
338 Harris Hill Road Suite 207 Williamsville NY 14221 |
| Practice Telephone | 7166924020 |
| Practice Fax Number | 7166925090 |
| Mailing Telephone | 7166344798 |
| Mailing Fax Number | 7166340987 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | DR. TAHIR M QAZI (PRESIDENT) |
| Authorized Official Telephone | 7166924020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 236351-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
236351 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
80 MEAD ST |
| City | NORTH TONAWANDA |
| State | NY |
| Zip Code | 14120-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477589471 | Tahir M Qazi | Physical Medicine & Rehabilitation | 80 Mead St, North Tonawanda, NY 14120-4435 | 2006-06-23 |
| 1982635504 | John A Fabian | Internal Medicine | 80 Mead St, North Tonawanda, NY 14120-4435 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894888 | Theresa Lynn Rogers | Driver | 40 Carruthers Pl, North Tonawanda, NY 14120 | 2019-08-01 |
| 1861969065 | Christine Elizabeth Oliveri | Physician Assistant | 7348 Graydon Dr., North Tonawanda, NY 14120 | 2018-10-26 |
| 1619444825 | Katherine Gabrielle Rodriguez | Physician Assistant | 6929 Maple Dr., North Tonawanda, NY 14120 | 2018-10-25 |
| 1598204703 | Vicki Ann Dimaria | Registered Nurse | 624 River Road, Suite 8, North Tonawanda, NY 14120 | 2017-02-21 |
| 1720537442 | Twin Cities Meals On Wheels | Home Delivered Meals | 100 Ridge Road, North Tonawanda, NY 14120 | 2016-09-22 |
| 1558712489 | Adeel Amir | Family Medicine | 1089 Kinkead Ave Ste 111, North Tonawanda, NY 14120 | 2016-06-22 |
| 1962850339 | Mary Elizabeth T. Wellence | Counselor | 3376 Niagara Falls Blvd., Suite 5, North Tonawanda, NY 14120 | 2016-05-26 |
| 1154745677 | John Meena Yacoub | Dentist | 30-18 208th St, Bayside, NY 14120 | 2014-02-05 |
| 1780934588 | Patricia Bogdan | Registered Nurse | 89 B River Road, North Tonawanda, NY 14120 | 2012-09-19 |
| 1073871299 | Nicole Kerner | Social Worker | 455 Meadow Drive, North Tonawanda, NY 14120 | 2012-04-25 |
| Find all providers in zip 14120 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926743 | Revay O Corbett | Physical Medicine & Rehabilitation | 185 Noble St, Brentwood, NY 11717-6512 | 2020-06-08 |
| 1760011910 | Presnel Dalmeus Jr. | Physical Medicine & Rehabilitation | 700 Health Sciences Dr, Stony Brook, NY 11790-3337 | 2020-04-08 |
| 1417593336 | Andrew Stephen Ward | Physical Medicine & Rehabilitation | 295 Madison Ave Rm 1026, New York, NY 10017-7725 | 2019-11-26 |
| 1699337188 | Dominic Anthony Violi | Physical Medicine & Rehabilitation | 200 Beacon Hill Dr Apt 9a, Dobbs Ferry, NY 10522-7064 | 2019-07-03 |
| 1518520949 | Forest Hills Acupuncture & Physical Therapy Pllc | Physical Medicine & Rehabilitation | 11045 Queens Blvd Ste 106, Forest Hills, NY 11375-5519 | 2019-04-22 |
| 1851819023 | Fam Physical Therapy of Miller Place PC | Physical Medicine & Rehabilitation | 275 Route 25a, Miller Place, NY 11764-2427 | 2017-09-07 |
| 1245755883 | Yitzchak Shollar | Physical Medicine & Rehabilitation | 3226 Kings Hwy, Brooklyn, NY 11234-2617 | 2017-08-04 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1841712296 | New York University | Physical Medicine & Rehabilitation | 1991 Marcus Ave Ste 306, New Hyde Park, NY 11042-2058 | 2017-07-07 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH TONAWANDA |
| Zip Code | 14120 |
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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.