JENNIFER GURSKE-DEPERIO (NPI# 1972768042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972768042 |
| Entity Type | Individual |
| Full Name | JENNIFER GURSKE-DEPERIO |
| Credential | MD |
| Practice Address |
5959 Big Tree Rd Orchard Park NY 14127-2291 |
| Mailing Address |
4225 Genesee St Suite 107 Cheektowaga NY 14225-1994 |
| Practice Telephone | 7168214400 |
| Practice Fax Number | 7168292138 |
| Mailing Telephone | 7169065908 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME106411 | FL | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 251338 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER, STATE OF NEW YORK | 251338 | 01 |
| NY | STUDENT, HEALTH CARE | 390200000X | 01 |
| Street Address |
5959 BIG TREE RD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184655946 | Francis John Herrmann | Physical Therapist | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2006-07-06 |
| 1205397866 | Travis Stephen Schake | Orthopaedic Surgery | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2019-03-27 |
| 1689154999 | Frank Dominic Petrasio | Physical Therapist | 5959 Big Tree Rd, Ste 108, Orchard Park, NY 14127-2291 | 2018-08-16 |
| 1144720947 | Caitlin Virginia Hackford | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-02-19 |
| 1871091348 | Katherine Belle Muff | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-01-30 |
| 1205353067 | Daryl Lindsay Trapper | Nurse Practitioner | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-08-23 |
| 1063946622 | Nora Fiore | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-04-20 |
| 1760843056 | Southtowns Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2016-03-14 |
| 1518323435 | Southtowns Surgery Center LLC | Clinic/Center | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2016-01-07 |
| 1851739460 | Julianne Heidi Nichols | Internal Medicine | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063838928 | University Orthopaedics Services, Inc. | Orthopaedic Surgery | 5959 Big Tree Rd Ste 108, Orchard Park, NY 14127-2291 | 2014-03-14 |
| 1689986317 | David S Bevilacqua Md PC | Orthopaedic Surgery | S-3673 Southwestern Blvd, Orchard Park, NY 14127-1740 | 2010-07-10 |
| 1700852837 | John A. Moscato | Orthopaedic Surgery | 3552 Southwestern Blvd, Orchard Park, NY 14127-1707 | 2006-02-28 |
| 1801867684 | David Aaron Pula | Orthopaedic Surgery | 3673 Southwestern Blvd, Orchard Park, NY 14127-1740 | 2006-01-30 |
| 1295129849 | Charles Cossell | Orthopaedic Surgery | 5959 Big Tree Rd Ste 108, Orchard Park, NY 14127-2291 | 2015-03-21 |
| 1477945004 | Koan Heindel | Orthopaedic Surgery | 5959 Big Tree Rd Ste 108, Orchard Park, NY 14127-2291 | 2015-02-18 |
| 1013289057 | Excelsior Orthopaedics LLP | Orthopaedic Surgery | 3045 Southwestern Blvd, Suite 108, Orchard Park, NY 14127-1209 | 2012-02-07 |
| 1053680983 | University Orthopaedics Services, Inc. | Orthopaedic Surgery | 4180 Abbott Rd, Orchard Park, NY 14127-2229 | 2011-12-21 |
| 1821365370 | John L O'donnell Md PC | Orthopaedic Surgery | 3673 Southwestern Blvd, Orchard Park, NY 14127-1740 | 2011-11-29 |
| 1902124043 | John Moscato Md PC | Orthopaedic Surgery | 3552 Southwestern Blvd, Orchard Park, NY 14127-1707 | 2010-05-13 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.