Highgate Medical Group, Pc | |
6255 Sheridan Dr Ste 200 Williamsville NY 14221-4825 | |
(716) 636-7979 | |
(716) 929-0192 |
Full Name | Highgate Medical Group, Pc |
---|---|
Speciality | Family Medicine |
Location | 6255 Sheridan Dr Ste 200, Williamsville, New York |
Authorized Official Name and Position | David Pawlowski (PRESIDENT) |
Authorized Official Contact | 7166367979 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Highgate Medical Group, Pc 6255 Sheridan Dr Ste 200 Williamsville NY 14221-4825 Ph: (716) 636-7979 | Highgate Medical Group, Pc 6255 Sheridan Dr Ste 200 Williamsville NY 14221-4825 Ph: (716) 636-7979 |
NPI Number | 1326158593 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 10/23/2023 |
Medicare PECOS PAC ID | 6901885565 |
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Medicare Enrollment ID | O20040716000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326158593 | NPI | - | NPPES |
01483930 | Medicaid | NY | |
A30001607 | Other | NY | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 131001 (New York) | Primary |
Provider Name | Kimberly A Macdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598722365 PECOS PAC ID: 0941277875 Enrollment ID: I20040910001173 |
Provider Name | Kathleen M Barone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053327247 PECOS PAC ID: 8224073887 Enrollment ID: I20050623000601 |
Provider Name | Timothy J Giglio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225189640 PECOS PAC ID: 0446332787 Enrollment ID: I20080125000485 |
Provider Name | Sharon Tasner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821059163 PECOS PAC ID: 0941371967 Enrollment ID: I20080619000207 |
Provider Name | Kyle A Wiktor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
Provider Name | Elizabeth A Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
Provider Name | Lori Luzi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457318354 PECOS PAC ID: 2961538491 Enrollment ID: I20100410000061 |
Provider Name | Jillian Lamarca |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1891928750 PECOS PAC ID: 2466589908 Enrollment ID: I20100415000009 |
Provider Name | David A Pawlowski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033174958 PECOS PAC ID: 9830215193 Enrollment ID: I20100924000267 |
Provider Name | John J Bodkin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609831536 PECOS PAC ID: 6507845161 Enrollment ID: I20110216000277 |
Provider Name | Michael Freitas |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093033953 PECOS PAC ID: 0244493211 Enrollment ID: I20120601000045 |
Provider Name | Elizabeth A Leiser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144576265 PECOS PAC ID: 1355586967 Enrollment ID: I20130403000223 |
Provider Name | Sandra Joan Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467792168 PECOS PAC ID: 6406082023 Enrollment ID: I20131203001897 |
Provider Name | Michael R Dlugosz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881987683 PECOS PAC ID: 7214179076 Enrollment ID: I20131210001391 |
Provider Name | Stacey S Gugino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346438157 PECOS PAC ID: 5799875845 Enrollment ID: I20140605001229 |
Provider Name | Ashley Iten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
Provider Name | Christina Parkot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366849937 PECOS PAC ID: 1153644646 Enrollment ID: I20150109000048 |
Provider Name | Christina E Wiertel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871986729 PECOS PAC ID: 4082925144 Enrollment ID: I20150617000378 |
Provider Name | Kimberly A Gruber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073907713 PECOS PAC ID: 2264744465 Enrollment ID: I20150630002878 |
Provider Name | Danielle Casillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164885067 PECOS PAC ID: 7618252875 Enrollment ID: I20170330001647 |
Provider Name | Kristina M Semidey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821484197 PECOS PAC ID: 3173888138 Enrollment ID: I20180523001551 |
Provider Name | Chantel Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912486051 PECOS PAC ID: 2365793833 Enrollment ID: I20180921001433 |
Provider Name | Allison Van Den Brand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679059455 PECOS PAC ID: 8820349160 Enrollment ID: I20180925003105 |
Provider Name | Ellen E Brody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568937779 PECOS PAC ID: 2163763947 Enrollment ID: I20190403002670 |
Provider Name | Sara L Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700343936 PECOS PAC ID: 1557603198 Enrollment ID: I20190430002077 |
Provider Name | Veronica V Miles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457819682 PECOS PAC ID: 4789926932 Enrollment ID: I20190508002547 |
Provider Name | Larika Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902462567 PECOS PAC ID: 0042545014 Enrollment ID: I20190712001408 |
Provider Name | Rachel N Yadon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316286388 PECOS PAC ID: 8820238504 Enrollment ID: I20190716002664 |
Provider Name | Justin M Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639525884 PECOS PAC ID: 8123365590 Enrollment ID: I20191008002629 |
Provider Name | Kelly Schultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225677388 PECOS PAC ID: 7416388384 Enrollment ID: I20200508000604 |
Provider Name | Mallory Furniss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093317588 PECOS PAC ID: 3173938628 Enrollment ID: I20210216002413 |
Provider Name | Tammy M Pesaresi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255660734 PECOS PAC ID: 2466859384 Enrollment ID: I20210920003173 |
Provider Name | Nicholas Anthony Pantano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417454463 PECOS PAC ID: 6608113030 Enrollment ID: I20211214001081 |
Provider Name | Marie Mastrangelo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457005001 PECOS PAC ID: 5991199069 Enrollment ID: I20220307001496 |
Provider Name | Manuel Castro |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336360874 PECOS PAC ID: 7315039195 Enrollment ID: I20221209000723 |
Provider Name | Jennifer Dent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780383380 PECOS PAC ID: 0547627051 Enrollment ID: I20230526001294 |
Provider Name | Kathryn Lynda Osetkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588231955 PECOS PAC ID: 0840651394 Enrollment ID: I20230731002060 |
Provider Name | Anne Marie Spano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063139517 PECOS PAC ID: 5890156269 Enrollment ID: I20230801003549 |
Provider Name | Aimee Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356043434 PECOS PAC ID: 4284098880 Enrollment ID: I20230915000469 |
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