| Maple Internal Medicine & Pediatrics, Pllc | |
|
1835 Maple Rd Ste 1 Williamsville NY 14221-2780 | |
| (716) 634-5410 | |
| (716) 634-0430 |
| Full Name | Maple Internal Medicine & Pediatrics, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1835 Maple Rd Ste 1, Williamsville, New York |
| Authorized Official Name and Position | William M Hartrich (MANAGING PARTNER) |
| Authorized Official Contact | 7166345410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Internal Medicine & Pediatrics, Pllc 1835 Maple Rd Ste 1 Williamsville NY 14221-2780 Ph: (716) 634-5410 | Maple Internal Medicine & Pediatrics, Pllc 1835 Maple Rd Ste 1 Williamsville NY 14221-2780 Ph: (716) 634-5410 |
| NPI Number | 1578520854 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 12/22/2014 |
| Medicare PECOS PAC ID | 7113245358 |
|---|---|
| Medicare Enrollment ID | O20150420000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578520854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| 208000000X | Pediatrics | (New York) | Secondary |
| Provider Name | Eric J Thierman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235101908 PECOS PAC ID: 5799772265 Enrollment ID: I20040427001059 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Dawn P Hrab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003870056 PECOS PAC ID: 9638189053 Enrollment ID: I20091217000327 |
| Provider Name | Timothy M Heyden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427012467 PECOS PAC ID: 1456361872 Enrollment ID: I20091218000283 |
| Provider Name | William M Hartrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629026703 PECOS PAC ID: 7810907235 Enrollment ID: I20100209000051 |
| Provider Name | Nicole M Riedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730410762 PECOS PAC ID: 5395904718 Enrollment ID: I20120305000279 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Sarah Boice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376997510 PECOS PAC ID: 1254678600 Enrollment ID: I20200826002449 |
| Provider Name | Meghan Lynn Bohince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568969095 PECOS PAC ID: 8628457280 Enrollment ID: I20220628002243 |
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