Aung Ko Ko Thant (NPI# 1730522541, PAC ID# 7315297496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730522541 |
| PAC ID by PECOS | 7315297496 |
| Professional Enrollment ID | I20180911002644 |
| Full Name | Aung Ko Ko Thant |
| Organization Legal Name | JERICHO ROAD MINISTRIES INC |
| Address |
1021 Broadway St Buffalo NY 14212-1460 |
| Phone Number | 7165293020 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597992933 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1021 Broadway St, Buffalo, NY 14212-1460 | 7165293020 | JERICHO ROAD MINISTRIES INC |
| 184 Barton St, Buffalo, NY 14213-1573 | 7163483000 | JERICHO ROAD MINISTRIES INC |
| Organization Legal Name | JERICHO ROAD MINISTRIES INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan Raleigh | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Dessialis Cruz | Physician Assistant | Jericho Road Ministries Inc | 184 Barton St, Buffalo, NY 14213-1573 |
| Myron L Glick | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| James Daniel Stoltzfus Jr. | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Allana Marie Krolikowski | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Colleen Quinn | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| Takesha L Leonard | Nurse Practitioner | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Rebecca Jean Beardsley | Nurse Practitioner | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Street Address |
1021 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip | 14212-1460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen Quinn | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doris M Schwartz | Optometry | 945 Broadway St, Buffalo, NY 14212-1218 | |
| Heather L Jack | Clinical Social Worker | Bestself Behavioral Health Inc | 1500 Broadway St, Buffalo, NY 14212-1845 |
| James P Stephen | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1845 |
| Richard R Curran | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1845 |
| Daniel J Molloy | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1862 |
| City | BUFFALO |
| Zip Code | 14212 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BUFFALO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Aung Ko Ko Thant.
| 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.