| Gastroenterology Associates, Llp | |
|
60 Maple Rd Ste 1 Williamsville NY 14221-2917 | |
| (716) 626-5283 | |
| (716) 332-2218 |
| Full Name | Gastroenterology Associates, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Maple Rd, Williamsville, New York |
| Authorized Official Name and Position | Barbara A Fleissner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7166265250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates, Llp 60 Maple Rd Ste 1 Williamsville NY 14221-2917 Ph: (716) 626-5250 | Gastroenterology Associates, Llp 60 Maple Rd Ste 1 Williamsville NY 14221-2917 Ph: (716) 626-5283 |
| NPI Number | 1740259647 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 12/27/2017 |
| Medicare PECOS PAC ID | 8820048085 |
|---|---|
| Medicare Enrollment ID | O20050125000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740259647 | NPI | - | NPPES |
| 02052606 | Medicaid | NY | |
| 2400834 | Other | NY | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (New York) | Primary |
| Provider Name | Ann F Lillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609852607 PECOS PAC ID: 0446143424 Enrollment ID: I20040204000279 |
| Provider Name | Mary J Ciechoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740245992 PECOS PAC ID: 5698766616 Enrollment ID: I20040519001059 |
| Provider Name | Shahid Mehboob |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588674428 PECOS PAC ID: 5698702330 Enrollment ID: I20050725000924 |
| Provider Name | Peter D Bloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316923253 PECOS PAC ID: 6406875830 Enrollment ID: I20051115000874 |
| Provider Name | Naima A Mian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609066224 PECOS PAC ID: 5597852657 Enrollment ID: I20071106000597 |
| Provider Name | Ognian Pomakov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366583767 PECOS PAC ID: 8820186794 Enrollment ID: I20071112000293 |
| Provider Name | Stanley Pietrak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396794939 PECOS PAC ID: 6709863244 Enrollment ID: I20080212000478 |
| Provider Name | Susan M Kreppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376748640 PECOS PAC ID: 7911086764 Enrollment ID: I20080505000452 |
| Provider Name | Christopher J Bartolone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548246788 PECOS PAC ID: 2365492535 Enrollment ID: I20100322000620 |
| Provider Name | Richard D Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184600975 PECOS PAC ID: 4183674351 Enrollment ID: I20100322000671 |
| Provider Name | David S Garson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457337388 PECOS PAC ID: 7113924804 Enrollment ID: I20100322000730 |
| Provider Name | Siddhartha S Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841276763 PECOS PAC ID: 0840297537 Enrollment ID: I20100322000776 |
| Provider Name | Yogesh Maheshwari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972589083 PECOS PAC ID: 6901827260 Enrollment ID: I20100322000883 |
| Provider Name | Kathy A Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578560397 PECOS PAC ID: 0941325070 Enrollment ID: I20100914000158 |
| Provider Name | Benjamin J Schaus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891982450 PECOS PAC ID: 3274629886 Enrollment ID: I20110608000023 |
| Provider Name | Rebecca Zipporah Ocque |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609213412 PECOS PAC ID: 0345480547 Enrollment ID: I20150924002536 |
| Provider Name | Craig E Keller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831481365 PECOS PAC ID: 1759668114 Enrollment ID: I20170512000192 |
| Provider Name | Tina M Dubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597521 PECOS PAC ID: 7113262882 Enrollment ID: I20181227001942 |
| Provider Name | Missy Dishman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598223984 PECOS PAC ID: 7719227032 Enrollment ID: I20190325001760 |
| Provider Name | Sarah R Goujon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210215 PECOS PAC ID: 1850621228 Enrollment ID: I20190927000509 |
| Provider Name | Holly N Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518174 PECOS PAC ID: 0143552844 Enrollment ID: I20191030001343 |
| Provider Name | Danielle C Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366072621 PECOS PAC ID: 1658700943 Enrollment ID: I20200408001143 |
| Provider Name | Mallory Hojnacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073287728 PECOS PAC ID: 8921404732 Enrollment ID: I20210902000842 |
| Provider Name | John D Picano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003202615 PECOS PAC ID: 2264838879 Enrollment ID: I20210908000253 |
| Provider Name | Danielle Remus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766417 PECOS PAC ID: 1759747082 Enrollment ID: I20230511002273 |
| Provider Name | Thomas M Malikowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700266194 PECOS PAC ID: 8628389442 Enrollment ID: I20230512000578 |
| Provider Name | Elizabeth Zoe Gregory |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801329511 PECOS PAC ID: 2466799937 Enrollment ID: I20230512000724 |
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