KEVIN J KLOSTERMANN (NPI# 1821044231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821044231 |
Entity Type | Individual |
Full Name | KEVIN J KLOSTERMANN |
Credential | PA |
Practice Address |
565 Abbott Rd Buffalo NY 14220-2039 |
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 | 2006-05-26 |
Last Update Date | 2007-11-07 |
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 |
008140-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02166154 | 05 |
Street Address |
565 ABBOTT RD |
City | BUFFALO |
State | NY |
Zip Code | 14220-2039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457355364 | David L Capaccio | Internal Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2005-06-08 |
1124638655 | Christopher James Dowd | Nurse Practitioner | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-08-10 |
1598380289 | Ekaterina Alexandria Rashid | Pharmacist | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-06-09 |
1285255562 | Julia Suriani | Physician Assistant | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-04-28 |
1689294506 | Emma Gargala | Pharmacist | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-04-21 |
1003445339 | Deborah Marie Giermek | Registered Nurse | 565 Abbott Rd, Buffalo, NY 14220-2095 | 2020-04-07 |
1851929954 | Mercy Hospital of Buffalo | Internal Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-04-01 |
1639706443 | Christine Nicole Poharatnyj | Nurse Practitioner | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-03-24 |
1811523251 | Zachary Martin Roeseler | Physical Therapist | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-03-17 |
1497389324 | Lukas Brightman | Pharmacist | 565 Abbott Rd, Buffalo, NY 14220-2095 | 2020-02-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003450735 | Suburban Dentistry PC | Dental Hygienist | 1050 Abbott Road, Buffalo, NY 14220 | 2019-11-06 |
1912554155 | Christopher A. Grato | Technician | 134 Crystal Ave, Buffalo, NY 14220 | 2019-08-22 |
1942777081 | Marissa Edwards Sheehan | Student in an Organized Health Care Education/Training Program | 429 S. Legion Dr, Buffalo, NY 14220 | 2018-10-26 |
1235641515 | Cathleen Jo Lang | Registered Nurse | 43 Eaglewood Ave., Buffalo, NY 14220 | 2017-10-26 |
1659827889 | Kara Woodard | Nurse Practitioner | 565 Abbott Rd., Buffalo, NY 14220 | 2016-08-28 |
1902286230 | Ngoc Yen Pham | Obstetrics & Gynecology | 515 Abbott Rd Ste 302, Buffalo, NY 14220 | 2015-06-02 |
1396029260 | Tracy M Dargan | Registered Nurse | 789 Gilmore Avenue, North Tonawanda, NY 14220 | 2011-10-10 |
1447400544 | Sylvia Marie Vasconcellos | Registered Nurse | 515 Abbott Rd. / Suite 306, Buffalo Mercy Hospital, Buffalo, NY 14220 | 2008-09-25 |
1184755464 | Sisters of Mercy of The Americas | Speech-Language Pathologist | 625 Abbott Road, Buffalo, NY 14220 | 2007-03-08 |
1154480242 | Jadab K Bhattacharyya | Internal Medicine | 534 Abbott Rd, Buffalo, NY 14220 | 2006-12-06 |
Find all providers in zip 14220 |
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 |
---|---|---|---|---|
1699856674 | Rafael Ricardo Rondon | Emergency Medicine | 84 Ashland Ave, Buffalo, NY 14222-2102 | 2006-10-18 |
1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
1831344142 | Waseya A Cornell | Emergency Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2008-12-01 |
1063459006 | Ann Elizabeth Schapiro | Emergency Medicine | 2157 Main St, Buffalo, NY 14214-2648 | 2006-05-31 |
1457308884 | Michael J Riggles | Emergency Medicine | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2006-05-30 |
1912954900 | Maureen A Shea | Emergency Medicine | 2157 Main St, Buffalo, NY 14214-2648 | 2006-05-27 |
1598712564 | Amy M Patton | Emergency Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2006-05-27 |
1235186222 | Mark D Wronecki | Emergency Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2006-05-27 |
1164478954 | Liane Catherine Kirchberger | Emergency Medicine | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2006-05-25 |
1205881547 | Christian M Krawczyk | Emergency Medicine | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2006-05-24 |
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.