STACY A DEAN (NPI# 1770540007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770540007 |
| Entity Type | Individual |
| Full Name | STACY A DEAN |
| Other Name | STACY SATERNUS |
| Credential | NP |
| Practice Address |
155 Lawn Ave Buffalo NY 14207-1816 |
| Practice Telephone | 7168752904 |
| Practice Fax Number | 7168756717 |
| Mailing Telephone | 7168752904 |
| Mailing Fax Number | 7168756717 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
303149 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 177021BJ | 01 |
| NY | IHA | 9513169 | 01 |
| NY | BCBS OF WNY | 000560569003 | 01 |
| NY | FIDELIS CARE | 040426002780 | 01 |
| NY | CAQH | 11239209 | 01 |
| NY | MEDICARE RAILROAD | P00362240 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 899 Main Street, William E Mosher Health Center, Buffalo, NY 14203 | 7168782700 | 7165045544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689116766 | Stacy Dean | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-11-07 |
| 1750735460 | Stacy Dean | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-04-19 |
| 1235540717 | Stacy Dean | Specialist | 503 Faulconer Dr, Suite 7a, Charlottesville, VA 22903-4978 | 2014-05-18 |
| 1194048405 | Stacy D Dean | Pharmacist | 1169 S Main St, Mansfield, PA 16933-9537 | 2010-03-02 |
| 1740313105 | Stacy Marie Dean | Dentist | 125 N Franklin Dr, Suite 5, Washington, PA 15301-5892 | 2007-03-14 |
| Street Address |
155 LAWN AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012853 | Mary A Rykert-wolf | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2005-06-09 |
| 1093340465 | Anna Marszalkowski | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-03-06 |
| 1821629510 | Joseph Mathis Quackenbush | Physician Assistant | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-01-31 |
| 1669026365 | Kerisa Lynne Muffoletto | Dental Hygienist | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-31 |
| 1073166815 | Laura Myers | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-22 |
| 1699328690 | Jessica Mae Matott | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-18 |
| 1780246496 | Jennifer Kaye Buyea | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-02 |
| 1104388313 | Clare Malachowski | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-04-05 |
| 1396203584 | Luanne Patterson | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-03-06 |
| 1245704352 | Madeline Cecelia Mcmorrow | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408372 | Syntyia La'tierra Taylor | Nurse Practitioner | 515 Abbott Rd Ste 408, Buffalo, NY 14220-1700 | 2018-12-16 |
| 1346743598 | Shelby Milan Belair | Nurse Practitioner | 3980 Sheridan Dr # D, Buffalo, NY 14226-1727 | 2018-03-14 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1295194652 | Viktoriya Mccarthy | Nurse Practitioner | 737 Main St Ste 300, Buffalo, NY 14203-1335 | 2016-02-15 |
| 1952553463 | Nerfis Elminowski | Nurse Practitioner | 2234 Seneca St, Buffalo, NY 14210-2438 | 2008-10-15 |
| 1275701187 | Suzanne Marie Barrett | Nurse Practitioner | Millard Fillmore Gates Facility 3 Gates Circle, Cmicu, Buffalo, NY 14209 | 2008-02-13 |
| 1346308475 | Cheryl Marie Zachewicz | Nurse Practitioner | 50 Lakefont Blvd, Buffalo, NY 14202-4327 | 2006-12-04 |
| 1508877267 | Nicole Lee Kroll | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-08-10 |
| 1346223583 | Marilyn Melnyk | Nurse Practitioner | 2001 Main St, Buffalo, NY 14208-1035 | 2005-11-22 |
| 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.