NIAGARA MEDICINE PC (NPI# 1780955799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780955799 |
| Entity Type | Organization |
| Organization Name | NIAGARA MEDICINE PC |
| Practice Address |
5300 Military Rd Lewiston NY 14092-1903 |
| Mailing Address |
908 Niagara Falls Blvd Ste 208 N Tonawanda NY 14120-2019 |
| Practice Telephone | 7162974800 |
| Mailing Telephone | 7166923302 |
| Mailing Fax Number | 7163323525 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | PAUL S MEADE (PRESIDENT) |
| Authorized Official Telephone | 7162982207 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT ST MARY'S HOSPITAL & HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
5300 MILITARY RD |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
| 1184252751 | Mount St. Mary's Hospital of Niagara Falls | Internal Medicine | 5300 Military Rd, Lewiston, NY 14092-1903 | 2020-03-30 |
| 1023656717 | Andrea Panzuto | Occupational Therapist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-12-13 |
| 1356985790 | Sean Fetzer | Pharmacist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-10-29 |
| 1982261574 | Jennifer Lynn Lute | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-05-20 |
| 1700343936 | Sara Louise Baker | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-02-24 |
| 1194299388 | Sophia Lorenda Overton | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-01-22 |
| 1104303270 | Samantha Renee Goldbach | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1997 | 2018-07-23 |
| 1679059455 | Allison Marie Van Den Brand | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2018-07-16 |
| 1740631894 | Megan Kosmoski | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2016-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649445 | Ben Bristol | Pathology | 424 Manville Rd Apt 2, Pleasantville, NY 10570-2848 | 2020-08-11 |
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1376164541 | Iftikhar Butt | Pathology | 17 Stablegate Dr, Clifton Park, NY 12065-6796 | 2020-04-29 |
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1902436728 | Coney Island Medical Diagnostic Services P C | Pathology | 1704 Mermaid Ave Ste 6, Brooklyn, NY 11224-2622 | 2020-01-21 |
| 1821527680 | Gamaliel Immanuel Medical Services PC | Pathology | 230 Hilton Ave Ste 214, Hempstead, NY 11550-8116 | 2017-06-06 |
| 1639605991 | New York Medical and Diagnostic Services PC | Pathology | 2315 86th St Fl 1, Brooklyn, NY 11214-4309 | 2017-05-05 |
| 1902355415 | Jayne Elizabeth Kremzier | Pathology | 349 Reist St, Williamsville, NY 14221-5344 | 2016-09-26 |
| 1336509090 | Joseph C Segen | Pathology | 1 Hawthorne Ln, Manhasset, NY 11030-1505 | 2016-02-24 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
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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.