MICHAEL JOSEPH EDBAUER (NPI# 1932105640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932105640 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH EDBAUER |
| Credential | D.O. |
| Practice Address |
3040 Amsdell Rd Hamburg NY 14075-5835 |
| Mailing Address |
2875 Union Rd Ste 8 Cheektowaga NY 14227-1461 |
| Practice Telephone | 7166461084 |
| Mailing Telephone | 7162061503 |
| Mailing Fax Number | 7166519855 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 181545 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01246139 | 05 | |
| NY | BC/BS | 000528208005 | 01 |
| NY | UNIVERA | 00010050104 | 01 |
| NY | FIDELIS | 040426002674 | 01 |
| NY | INDEPEDENT HEALTH | 1209831 | 01 |
| Street Address |
3040 AMSDELL RD |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667893 | Craig K Maclean | Family Medicine | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2005-05-31 |
| 1508467481 | Christopher Todd Nutty | Radiology | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2020-11-05 |
| 1245878578 | Sarah Marino | Physical Therapist | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2019-12-17 |
| 1013561646 | Andrew Joseph Bojanowski | Radiology | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2019-07-31 |
| 1285095661 | Brierwood Physical Therapy, P.C. | Physical Therapist | 3040 Amsdell Rd, Suite 207 B, Hamburg, NY 14075-5835 | 2016-03-14 |
| 1154703288 | Hometown Orthodontics Pllc | Dentist | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2015-06-25 |
| 1336584820 | Sean William Maclean | Family Medicine | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2013-05-09 |
| 1366786535 | Thomas Kowalski | Physical Therapist | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2012-11-12 |
| 1225315864 | Anthony Joseph Sterlace Jr. | Physical Therapist | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2011-11-10 |
| 1417230723 | Colby Aris Damon | Nurse Practitioner | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 2011-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1710920012 | Smita Agarwal | Pediatrics | S-4947 Lakeshore Road, Hamburg, NY 14075-5615 | 2006-06-14 |
| 1821035593 | John Krzan | Pediatrics | 4390 Quinby Dr, Suite E, Hamburg, NY 14075-7900 | 2006-06-01 |
| 1740401918 | Sarah Al Cook | Pediatrics | 4855 Camp Rd., Suite 100, Hamburg, NY 14075 | 2007-05-02 |
| 1366520363 | Village Pediatrics & Rheumotology LLC | Pediatrics | 17 Long Avenue, Suite 110, Hamburg, NY 14075 | 2006-11-01 |
| 1518928456 | Joan G Calkins | Pediatrics | 17 Long Ave, Ste 110, Hamburg, NY 14075 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
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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.