Diane J Sutter (NPI# 1447291703, PAC ID# 3577567619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1447291703 |
| PAC ID by PECOS | 3577567619 |
| Professional Enrollment ID | I20060905000150 |
| Full Name | Diane J Sutter |
| Organization Legal Name | DIANE J SUTTER MD PLLC |
| Address |
3800 Delaware Ave Suite 102 Kenmore NY 14217-1094 |
| Phone Number | 7166505548 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8729263140 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330102 | KENMORE MERCY HOSPITAL |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | 7166505548 | DIANE J SUTTER MD PLLC |
| Organization Legal Name | DIANE J SUTTER MD PLLC |
| Physicians | 1 |
| Street Address |
3800 DELAWARE AVE SUITE 102 |
| City | KENMORE |
| State | NY |
| Zip | 14217-1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Antfleck | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | |
| Julie A Gavin | Obstetrics/gynecology | 3800 Delaware Ave, Suite 108, Kenmore, NY 14217-1094 | |
| Robert Fugitt | Urology | Robert G Fugitt, Md and David B Lillie, Md, PC | 3800 Delaware Ave, Suite 104, Kenmore, NY 14217-1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashvani K Gulati | Ophthalmology | 3750 Delaware Ave, Kenmore, NY 14217-1002 | |
| Elspeth S Call Lukasik | Obstetrics/gynecology | Bartels,powalski and Weissman, Mds,pc | 3834 Delaware Ave, Kenmore, NY 14217-1039 |
| George A Haddad | Internal Medicine | 3800 Delware Ave, Suite 100, Kenmore, NY 14217-1094 | |
| Christopher Dressel | Chiropractic | 3679 Delaware Ave, Buffalo, NY 14217-1113 | |
| Susan Baldassari | Internal Medicine | 3673 Delaware Ave, Kenmore, NY 14217-1113 | |
| Keryn E Gauch | Physician Assistant | Daniel I Rifkin, Md, PC | 1491 Sheridan Dr, Kenmore, NY 14217-1234 |
| Lauren Condrasky | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Kaylee L Mcrae | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Rajiv K Jain | Internal Medicine | University Orthopaedic Services Inc | 1491 Sheridan Dr, Tonawanda, NY 14217-1234 |
| Kariann M Womer | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Find all physicians in zip 14217 | |||
| City | KENMORE |
| Zip Code | 14217 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | KENMORE + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.