CASEY PETTIT (NPI# 1821368291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821368291 |
| Entity Type | Individual |
| Full Name | CASEY PETTIT |
| Credential | PA |
| Practice Address |
608 William St Buffalo NY 14206-1649 |
| Practice Telephone | 7166687051 |
| Practice Fax Number | 7166687069 |
| Mailing Telephone | 7168588026 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 015512 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
608 WILLIAM ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14206-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376617605 | Melissa Rubadeaux | Nurse Practitioner | 608 William St, Buffalo, NY 14206-1649 | 2006-11-20 |
| 1619260858 | Jessica Megan Ramage | Registered Nurse | 608 William St, Buffalo, NY 14206 | 2011-05-20 |
| 1649577735 | Jane E O'leary | Nurse Practitioner | 608 William St, Buffalo, NY 14206-1649 | 2011-02-25 |
| 1104152255 | Susan Beahan | Counselor | 608 William St, Buffalo, NY 14206-1649 | 2009-10-26 |
| 1720313448 | Carolyn R Biggar | Nurse Practitioner | 608 William St, Buffalo, NY 14206-1649 | 2009-10-14 |
| 1033367727 | Elizabeth Hamm | Social Worker | 608 William St, Buffalo, NY 14206-1649 | 2008-09-05 |
| 1386890499 | Alisa Land | Registered Nurse | 608 William St, Buffalo, NY 14206-1649 | 2008-08-08 |
| 1871749093 | Jacqueline Murphy | Registered Nurse | 608 William St, Buffalo, NY 14206-1649 | 2008-08-08 |
| 1437315249 | Barbara B. Cullen | Registered Nurse | 608 William St, Buffalo, NY 14206-1649 | 2008-07-31 |
| 1912162074 | Nancy Marie Buchbinder | Registered Nurse | 608 William St, Buffalo, NY 14206-1649 | 2008-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255747853 | Alisha M Alford | Occupational Therapist | 94 John Pl Ct, Buffalo, NY 14206 | 2014-07-03 |
| 1750700977 | Julie M. Atkinson | Licensed Practical Nurse | 1291 E. Lovejoy St., Buffalo, NY 14206 | 2014-04-15 |
| 1750632766 | Christen Schwartz | Massage Therapist | 2569 William St, Cheektowaga, NY 14206 | 2012-10-01 |
| 1508964693 | John M Aquino | Podiatrist | 2047 Clinton Street, Buffalo, NY 14206 | 2006-09-20 |
| 1336157320 | Thomas Lossin Kuhn | Dentist | 2064 Clinton St, Buffalo, NY 14206 | 2006-08-04 |
| 1619927068 | Dennis G Przybyla | Chiropractor | 1796 Clinton Street, Buffalo, NY 14206 | 2006-05-10 |
| 1770810608 | Jill Marie Dunstan | Counselor | 254 Franklin Street, Buffalo, NY 14206 | 2009-11-13 |
| 1174709331 | John M Aquino | Durable Medical Equipment & Medical Supplies | 2047 Clinton Street, Buffalo, NY 14206 | 2008-01-17 |
| 1245281377 | Luke A Przybyla | Chiropractor | 1796 Clinton Street, Buffalo, NY 14206 | 2006-05-13 |
| 1285264705 | A-line Transportation | Non-emergency Medical Transport (VAN) | 209 Greene St, Buffalo, NY 14206-1009 | 2020-01-23 |
| Find all providers in zip 14206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| 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.