COLLEEN WESELOH (NPI# 1962820100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962820100 |
| Entity Type | Individual |
| Full Name | COLLEEN WESELOH |
| Other Name | COLLEEN QUINN |
| Credential | M.D. |
| Practice Address |
1021 Broadway St Buffalo NY 14212-1460 |
| Mailing Address |
6 13th Ave E Polson MT 59860-5315 |
| Practice Telephone | 7165293020 |
| Practice Fax Number | 7165293040 |
| Mailing Telephone | 4068835680 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 295871 | NY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MED-PHYS-LIC-828 | MT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036142994 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2411 Holmes St, Kansas City, MO 641082741 | 8162356627 | |
| 6201 Roosevelt Rd, Berwyn, IL 604021108 | 7083860845 |
| Street Address |
1021 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1780285296 | Mental Health Association of Erie County | Peer Specialist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2020-11-03 |
| 1952893091 | Jericho Road Ministries, Inc. | Clinic/Center | 1021 Broadway St, Buffalo, NY 14212-1460 | 2018-06-05 |
| 1003285552 | Ashley L Wyant | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2015-09-15 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1316358609 | Kayla Jean Garcia | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2014-05-08 |
| 1730522541 | Aung Ko Ko Thant | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2013-04-10 |
| 1689909160 | Patricia Joy Pitts | Pharmacist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| 1750667473 | Catherine Ann Jankowiak | Registered Nurse | 166 Halstead Ave, Sloan, NY 14212 | 2011-10-26 |
| 1215254453 | Constance Andrea Smith | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-28 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002008 | Jenii Tia Statt | Family Medicine | 369 Washington St Apt 206, Buffalo, NY 14203-2116 | 2020-08-03 |
| 1023630738 | Alysia Mota Smith | Family Medicine | 610 N Hoy St, Buffalo, OK 73834-8933 | 2020-05-15 |
| 1568932945 | Team Excellence Health | Family Medicine | 1502 Niagara St Apt 604, Buffalo, NY 14213-1182 | 2018-11-28 |
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| 1003222092 | Robinder Bahniwal | Family Medicine | 34 Benwood Avenue, Buffalo, NY 14215 | 2014-07-10 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1457686347 | Michael T. Doldan | Family Medicine | 2497 Delaware Ave, Buffalo, NY 14216-1712 | 2009-10-09 |
| 1740330851 | Buffalo Niagara Medical Associates | Family Medicine | 941 Washington St, Buffalo, NY 14203-1116 | 2007-01-11 |
| 1699799155 | Donald L Head | Family Medicine | 249 Craig St, Buffalo, TX 75831-7707 | 2006-07-27 |
| 1023031200 | Kirk A Scirto | Family Medicine | 184 Barton St, Buffalo, NY 14213-1573 | 2006-07-26 |
| 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.