SOUTHTOWNS GASTROENTEROLOGY, PLLC (NPI# 1679872055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679872055 |
| Entity Type | Organization |
| Organization Name | SOUTHTOWNS GASTROENTEROLOGY, PLLC |
| Practice Address |
3065 Southwestern Blvd Ste 100 Orchard Park NY 14127-1239 |
| Practice Telephone | 7166779220 |
| Practice Fax Number | 7166779226 |
| Mailing Telephone | 7166779220 |
| Mailing Fax Number | 7166779226 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | ALBERT DIAZ-ORDAZ (PHYSICIAN) |
| Authorized Official Telephone | 7166779220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
162503 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTHTOWNS GASTROENTEROLOGY, PLLC | 310 Sterling Drive, Suite 105, Orchard Park, Ny 14127 |
| Street Address |
3065 SOUTHWESTERN BLVD STE 100 |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821008 | Laura B Ridge | Physician Assistant | 3065 Southwestern Blvd, Ste 104, Orchard Park, NY 14127-1239 | 2005-06-16 |
| 1013449909 | Jennifer Sands | Psychologist | 3065 Southwestern Blvd, Orchard Park, NY 14127-1004 | 2017-03-30 |
| 1003249269 | Heather Marie Larson | Physician Assistant | 3065 Southwestern Blvd, Suite 100, Orchard Park, NY 14127-1239 | 2013-08-12 |
| 1316225360 | Elaine M Lopez | Nurse Practitioner | 3065 Southwestern Blvd, Ste 100, Orchard Park, NY 14127-1239 | 2011-07-25 |
| 1932379815 | Empire Cardiology PC | Internal Medicine | 3065 Southwestern Blvd, Suite 202, Orchard Park, NY 14127-1239 | 2008-03-06 |
| 1730392564 | Peter Accetta, M.d. | Specialist | 3065 Southwestern Blvd, Orchard Park, NY 14127-1239 | 2007-05-08 |
| 1265585392 | Mark E Swetz Md,pc | Family Medicine | 3065 Southwestern Blvd, Suite 206, Orchard Park, NY 14127-1239 | 2007-01-20 |
| 1588735203 | Albert Jose Diaz-ordaz | Specialist | 3065 Southwestern Blvd, Suite 100, Orchard Park, NY 14127-1239 | 2006-11-13 |
| 1073526356 | Ronald Paul Emerson Jr. | Internal Medicine | 3065 Southwestern Blvd, Suite 202, Orchard Park, NY 14127-1239 | 2006-08-15 |
| 1992778674 | Bonnie Sunday | Family Medicine | 3065 Southwestern Blvd, Suite 100, Orchard Park, NY 14127-1239 | 2006-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.