MS. AUDREY ANN DEGEN


Address: 3495 Bailey Ave, Buffalo, NY 14215-1129
Phone: 7168626051

MS. AUDREY ANN DEGEN (NPI# 1912985896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912985896
Entity Type Individual
Full Name MS. AUDREY ANN DEGEN
Credential PA
Practice Address 3495 Bailey Ave
Buffalo
NY 14215-1129
Mailing Address 9 Via Donato
Depew
NY 14043-4548
Practice Telephone 7168626051
Mailing Telephone 7166811865
Enumeration Date 2006-01-03
Last Update Date 2012-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		005725-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3495 BAILEY AVE
City BUFFALO
State NY
Zip Code 14215-1129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659377968 Deborah Lynn Farolino Internal Medicine 3495 Bailey Ave, Buffalo, NY 14215-1129 2005-06-22
1932727799 Kaitlyn Starr Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-07-08
1992322622 Michael Thomas Carter Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-06-29
1194348912 Shyamashree Sinha Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-27
1497378095 Peter Thomas Hibl Chiropractor 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-19
1811529076 Esther Lee Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1982236139 Andrew Dobmeier Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1174163299 Rachel Atkinson Social Worker 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-01-07
1568008308 Kristen Tilson Dietitian, Registered 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-11-26
1942842315 Richard Justin Moore Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
1093336646 Sanjeevani Tomar Student in an Organized Health Care Education/Training Program University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 2020-05-05
1982225926 Rohan Pandey Student in an Organized Health Care Education/Training Program 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 2020-04-30
1235759911 Michael William O'donnell Student in an Organized Health Care Education/Training Program Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 2020-04-22
1780204883 Ishwor Sharma Student in an Organized Health Care Education/Training Program Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 2020-04-20
1174142632 Salman Masood Student in an Organized Health Care Education/Training Program 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 2020-04-14
1730718354 Charles Feng Hua Zhang Student in an Organized Health Care Education/Training Program Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 2020-04-06
1700415650 Joseph Charles L'huillier Student in an Organized Health Care Education/Training Program General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 2020-04-03
Find all providers in zip 14215

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316460413 Katherine Susanne Miller Physician Assistant 2121 Main St Ste 316, Buffalo, NY 14214-2673 2017-07-20
1306023866 Nicole C Scovazzo Physician Assistant 30 N Union Rd Ste 104, Buffalo, NY 14221-5367 2008-01-28
1730294851 Patrick Losito Physician Assistant 515 Abbott Rd., Suite 101, Buffalo, NY 14220 2006-08-20
1295760619 Brenda Leaird Kelly Physician Assistant 899 Main Street, William E Mosher Health Center, Buffalo, NY 14203 2006-07-12
1033167127 Jennifer Lynn Noble Physician Assistant 875 Ellicott Street, Gates Vascular Institute, Buffalo, NY 14203 2006-05-04
1386626117 Andrew M Dybalski Physician Assistant 700 Michigan Ave, Buffalo, NY 14203-1514 2005-11-17
1548828031 Chloe Anna Carver Physician Assistant 462 Grider St, Buffalo, NY 14215-3098 2019-05-30
1770084329 Rachel Michele Watt Physician Assistant 2157 Main St, Buffalo, NY 14214-2648 2018-02-27
1194255505 Kurtis Matthew Downey Physician Assistant 565 Abbott Rd, Buffalo, NY 14220-2039 2017-06-18
1124420369 Kathryn Wirth Physician Assistant 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 2014-09-18
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Competitor

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City BUFFALO
Zip Code 14215

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Dataset Information

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.

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