LUNA MEDICAL CARE PC (NPI# 1568749364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568749364 |
| Entity Type | Organization |
| Organization Name | LUNA MEDICAL CARE PC |
| Other Organization Name | MOBILE MD |
| Practice Address |
656 Elmwood Ave Buffalo NY 14222-1836 |
| Practice Telephone | 7162047458 |
| Practice Fax Number | 7168838764 |
| Mailing Telephone | 7162047458 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2019-04-10 |
| NPI Deactivation Date | 04/02/2019 |
| NPI Reactivation Date | 2019-04-10 |
| Authorized Official Name | DR. HONGBIAO LIU (PRESIDENT) |
| Authorized Official Telephone | 7162047458 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
255538 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mobile MD | Doing Business As Name - Organization |
| Street Address |
656 ELMWOOD AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14222-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409991 | Michael D. Calabrese, Physician P. C. | Clinic/Center | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2005-12-22 |
| 1689281206 | Amy L Claroni | Nurse Practitioner | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2020-09-28 |
| 1518504166 | Kalene Marie Bieniek | Nurse Practitioner | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2019-12-03 |
| 1972071744 | Cierra Bush | Physical Medicine & Rehabilitation | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2018-11-09 |
| 1184104077 | Rachel Pandolfe | Physical Medicine & Rehabilitation | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2018-08-20 |
| 1093295537 | Casey Jackson Calabrese | Physical Medicine & Rehabilitation | 656 Elmwood Ave, Buffalo, NY 14222 | 2018-08-15 |
| 1811416142 | Katelyn West | Physician Assistant | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2017-09-19 |
| 1831610807 | Megan Mogavero | Nurse Practitioner | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2017-06-29 |
| 1497113047 | Ying Liu Wohlberg | Nurse Practitioner | 656 Elmwood Ave, Buffalo, NY 14222 | 2016-02-10 |
| 1518342898 | Patrick Crangle | Physical Therapist | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414360 | Brittany Marie Dorsey | Registered Nurse | 770 W. Ferry St, Apt 25b, Buffalo, NY 14222 | 2019-06-04 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1558831560 | Nichole Virag | Doula | 195 Lexington Ave, E, Buffalo, NY 14222 | 2018-12-03 |
| 1487120234 | Lakieta L Smith | Massage Therapist | 820 Elmwood Ave, 5, Buffalo, NY 14222 | 2018-10-19 |
| 1235524646 | Ann Caughill | Registered Nurse | 257 Elmwood Ave., Room 303, Buffalo, NY 14222 | 2015-04-02 |
| 1255608535 | Vinay Sharma | Pediatrics | 239 Bryant Street, Division of Neonatology, Buffalo, NY 14222 | 2011-11-30 |
| 1558644757 | John Arthur Gillespie | Internal Medicine | 190 Bryant St., Buffalo, NY 14222 | 2011-09-23 |
| 1861773384 | Pamela Mary Sheehan-schreck | Nurse Practitioner | 239 Bryant St., 2nd Floor, Buffalo, NY 14222 | 2011-08-30 |
| 1295025286 | Jeanie Bowen Hayes | Specialist/Technologist | 90 Highland Avenue, Buffalo, NY 14222 | 2011-04-12 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| Find all providers in zip 14222 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1164409991 | Michael D. Calabrese, Physician P. C. | Clinic/Center | 656 Elmwood Ave, Buffalo, NY 14222-1836 | 2005-12-22 |
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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.