MS. JENNIFER LYNN SHOTWELL (NPI# 1548785140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548785140 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN SHOTWELL |
| Practice Address |
462 Grider St Buffalo NY 14215-3021 |
| Mailing Address |
266 Bedford Ave Buffalo NY 14216-3104 |
| Practice Telephone | 7168984040 |
| Mailing Telephone | 7165744803 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
589674 | NY | Allopathic & Osteopathic Physicians |
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
589674 | NY | Technologists, Technicians & Other Technical Service Providers |
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
589674 | NY | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587173 | Jennifer Cummings Shotwell | Counselor | 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 | 2018-02-12 |
| 1083796940 | Jennifer Lea Myers Shotwell | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-10-19 |
| Street Address |
462 GRIDER ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195395 | Kara Anne Woods | Physician Assistant | 462 Grider St, Buffalo, NY 14215-3098 | 2005-06-21 |
| 1396355095 | Jenna Elizabeth Nassar | Hospitalist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-08-06 |
| 1962010272 | Jannet Li Harkins | Registered Nurse | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-22 |
| 1831717172 | Toluwanimi Mercy Aladesua | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-13 |
| 1568088854 | Elizabeth Ifeyironwa Onyechi | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-06-22 |
| 1285257949 | Jianhua Wu | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-28 |
| 1710500277 | Calvin James Meaney | Pharmacist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-19 |
| 1033731963 | Kaylyn Bunz | Counselor | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-14 |
| 1356963623 | Holly Renee Johnson | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-10 |
| 1023630522 | Kevin Michael Todd | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740403526 | Thomas Joseph Laudico | Radiology | Elm and Carlton Street, Buffalo, NY 14263-0001 | 2007-04-10 |
| 1346367935 | Andrew T Dunn | Radiology | 100 High St Fl 2, Buffalo, NY 14203-1126 | 2007-03-26 |
| 1508807769 | David A Paul | Radiology | 2828 Main St, Buffalo, NY 14214-1722 | 2006-06-09 |
| 1285692657 | Frank J Mascaro | Radiology | 222 Genesee St, Buffalo, NY 14203 | 2006-05-03 |
| 1053379412 | Robert E Lutnick | Radiology | 222 Genesee Street, Buffalo, NY 14203 | 2006-05-03 |
| 1568420149 | Wendy E Zimmer | Radiology | 32 Saint Catherines Ct, Buffalo, NY 14222-1614 | 2006-05-03 |
| 1477531598 | Charles Ray Gosnell | Radiology | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1669823175 | David Weinthrop Levine | Radiology | 832 Walden Ave, Buffalo, NY 14211-2639 | 2016-06-27 |
| 1750744751 | University Radiology At Buffalo, Inc. | Radiology | 100 High St, Buffalo, NY 14203-1126 | 2016-03-29 |
| 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.