ANDREA KLIMTZAK (NPI# 1902874688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902874688 |
| Entity Type | Individual |
| Full Name | ANDREA KLIMTZAK |
| Credential | PA |
| Practice Address |
112 Olean St Suite 220 East Aurora NY 14052-2540 |
| Practice Telephone | 7168051072 |
| Practice Fax Number | 7168051073 |
| Mailing Telephone | 7168051072 |
| Mailing Fax Number | 7168051073 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 010679 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 051031000028 | 01 |
| NY | IHA | 9512871 | 01 |
| NY | BC/BS | 000570550001 | 01 |
| NY | PREFERRED CARE | 172119BF | 01 |
| NY | 02699627 | 05 | |
| NY | UNIVERA | 00027264901 | 01 |
| Street Address |
112 OLEAN ST SUITE 220 |
| City | EAST AURORA |
| State | NY |
| Zip Code | 14052-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164496717 | Paula Zagrobelny | Nurse Practitioner | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-02-13 |
| 1487953394 | Martha Elizabeth Robinson | Nurse Practitioner | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2011-03-17 |
| 1881604098 | Tara Brewer | Physician Assistant | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-08-09 |
| 1801853320 | East Aurora Family Practice,llp | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-04-27 |
| 1508820242 | Elizabeth Ann Weingarten | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-04-12 |
| 1003880113 | Shawn Cotton | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-02-15 |
| 1528032695 | Kevin Christopher Mcmahon | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-02-15 |
| 1194799494 | David Lawton | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457806960 | Hannah Howard | Case Manager/Care Coordinator | 1268 Blakeley Corners Road, East Aurora, NY 14052 | 2016-08-25 |
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1265785240 | Diana Wittrock | Licensed Practical Nurse | 1080 N Davis Rd, East Aurora, NY 14052 | 2012-10-16 |
| 1437468162 | Gerard Earlwyn Schultz | Family Medicine | 351 Girdle Rd., East Aurora, NY 14052 | 2010-09-29 |
| 1386969541 | Frederick Carl Nuessle | Family Medicine | 38 Elm St., East Aurora, NY 14052 | 2010-03-31 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1235256413 | Robert R Meisner | Dentist | 250 Quaker Rd, East Aurora, NY 14052 | 2007-03-23 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1689754525 | Westermeier & Martin Dental Care Pllc | Dentist | 950 East Main Street, East Aurora, NY 14052 | 2006-10-16 |
| Find all providers in zip 14052 | ||||
| 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 |
|---|---|---|---|---|
| 1104319532 | Megan Weinreber | Physician Assistant | 112 Olean St Ste 220, East Aurora, NY 14052-2540 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST AURORA |
| Zip Code | 14052 |
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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.