DR. ANDRE L LOPEZ (NPI# 1568455657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568455657 |
| Entity Type | Individual |
| Full Name | DR. ANDRE L LOPEZ |
| Credential | MD |
| Practice Address |
325 Essjay Rd Suite 110 Williamsville NY 14221-8243 |
| Mailing Address |
425 Essjay Rd Ste 170 Williamsville NY 14221-8235 |
| Practice Telephone | 7166301465 |
| Practice Fax Number | 7162505989 |
| Mailing Telephone | 7166301219 |
| Mailing Fax Number | 7168171726 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 243581-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NORTH AMERICAN PREFERRED | 16-1000580 | 01 |
| NY | EMPIRE | 16-1000580 | 01 |
| NY | HEALTH NOW | 000593559003 | 01 |
| NY | UNIVERA | 00028086801 | 01 |
| NY | IHA | 0114262 | 01 |
| NY | 0281730 | 05 |
| Street Address |
325 ESSJAY RD SUITE 110 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366085797 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2019-10-17 |
| 1588205256 | Cheryl Theresia Schulz | Nurse Practitioner | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2019-10-03 |
| 1326696899 | Gabriel Lopez | Physician Assistant | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2019-08-28 |
| 1538711767 | Nicholas Peter Bossert | Physician Assistant | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2019-07-09 |
| 1538648076 | Xunao Zhang | Physician Assistant | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2018-08-07 |
| 1043798507 | Maria Ruth Reger | Physician Assistant | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2018-08-06 |
| 1841777604 | Allison Luksch | Physician Assistant | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2018-07-25 |
| 1902391667 | Margaret Horn Collins | Physical Therapist | 325 Essjay Rd, Williamsville, NY 14221 | 2018-06-26 |
| 1861854440 | Dhammi Kaushalya Jayathilaka | Internal Medicine | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2016-03-23 |
| 1104282599 | Catherine Ayers | Dietitian, Registered | 325 Essjay Rd, Williamsville, NY 14221-8243 | 2016-01-14 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1407271802 | Anita Williams | Family Medicine | 50 Arielle Ct Apt H, Williamsville, NY 14221-1951 | 2014-02-22 |
| 1467899971 | Chandrarekha Americhetty | Family Medicine | 197 S Union Rd, Unit B, Williamsville, NY 14221-6569 | 2013-05-24 |
| 1306183561 | B Weinstein Md PC | Family Medicine | 1445 Maple Road, Williamsville, NY 14221 | 2013-01-08 |
| 1346508991 | Derek Anthony Gallucci | Family Medicine | 30 N Union Rd Ste 102, Williamsville, NY 14221-5367 | 2012-05-01 |
| 1922298512 | Philip D Fu Md PC | Family Medicine | 6636 Main Street, Suite 1, Williamsville, NY 14221-5967 | 2007-07-30 |
| 1891880902 | Nora Meaney-elman | Family Medicine | 8171 Sheridan Dr, Ste 600, Williamsville, NY 14221-6002 | 2006-10-04 |
| 1609984780 | Ian M Frankfort Md, Stuart Rubin Md and Daniel J Mcmahon Md | Family Medicine | 747 Hopkins Rd, Williamsville, NY 14221-2320 | 2006-08-28 |
| 1538102850 | Amy Marie Severson | Family Medicine | 5430 Main St, Egea Medical Weight Loss Center, Williamsville, NY 14221-6648 | 2006-06-14 |
| 1114978103 | Anil K Tripathy | Family Medicine | 164 Newcastle Dr, Williamsville, NY 14221-1991 | 2006-05-13 |
| Find all providers in WILLIAMSVILLE | ||||
| 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.