CHRISTIAN R DEFAZIO (NPI# 1689627465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689627465 |
| Entity Type | Individual |
| Full Name | CHRISTIAN R DEFAZIO |
| Credential | MD |
| Practice Address |
2950 Elmwood Ave Kenmore NY 14217-1304 |
| Mailing Address |
6653 Main St Williamsville NY 14221-5906 |
| Practice Telephone | 7162044500 |
| Practice Fax Number | 7162044501 |
| Mailing Telephone | 7162044500 |
| Mailing Fax Number | 7162044501 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
210627-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01881290 | 05 |
| Street Address |
2950 ELMWOOD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734066 | Victoria Paulsen | Anesthesiology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-06-16 |
| 1659909752 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-04-01 |
| 1962048793 | David Michael Armstrong | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-11-27 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1174058549 | Great Lakes Locums LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2017-04-24 |
| 1619424884 | Buffalo Niagara Hospitalist LLC | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217 | 2016-09-06 |
| 1629525167 | Caitlin Elizabeth Ortiz | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2016-09-01 |
| 1255714762 | Krystal R Burns | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-07-01 |
| 1033591342 | Robert E Baker IIi | Physician Assistant | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-06-23 |
| 1295114601 | Jeffrey Olek | Pharmacist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447206222 | Michelle E Rainville | Emergency Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-05-25 |
| 1902851256 | Raquel G Martin | Emergency Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-05-24 |
| 1437102316 | Ronald M Somogyi | Emergency Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588129852 | Steve Lazo | Emergency Medicine | 3210 Greenpoint Ave, Long Island City, NY 11101-2010 | 2019-01-31 |
| 1730667734 | Lagrange Fire District | Emergency Medicine | 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 | 2018-08-01 |
| 1407217631 | Debonotropepamdpc | Emergency Medicine | 24 Charter Ave, Dix Hills, NY 11746-6447 | 2016-03-16 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1356689855 | Medfirst Urgent Care, Pllc | Emergency Medicine | 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 | 2013-01-18 |
| 1821341744 | Stat Medical Usa | Emergency Medicine | 1943 Vincent Ln, Syosset, NY 11791-9629 | 2012-10-16 |
| 1104132190 | Kildare Clarke | Emergency Medicine | 6 Hazelton Dr, White Plains, NY 10605-3805 | 2010-08-27 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1497076806 | Jose Luis Romero | Emergency Medicine | 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 | 2010-06-21 |
| 1619109121 | Matthew J. Krauthamer | Emergency Medicine | 16 Capri Ct, Dix Hills, NY 11746-6410 | 2009-08-17 |
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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.