| Latus Medical Care | |
|
2350 Maple Rd Ste 100 Amherst NY 14221-4080 | |
| (716) 688-6500 | |
| (716) 688-6501 |
| Full Name | Latus Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2350 Maple Rd Ste 100, Amherst, New York |
| Authorized Official Name and Position | Peggy Davis Smering (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7163044683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latus Medical Care 2350 Maple Rd Ste 100 Amherst NY 14221-4080 Ph: (716) 688-6500 | Latus Medical Care 2350 Maple Rd Ste 100 Amherst NY 14221-4080 Ph: (716) 688-6500 |
| NPI Number | 1982258422 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 6800222514 |
|---|---|
| Medicare Enrollment ID | O20200128002096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982258422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | John R Fudyma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073562716 PECOS PAC ID: 6103873542 Enrollment ID: I20061208000192 |
| Provider Name | Brian Macdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356705883 PECOS PAC ID: 5597002931 Enrollment ID: I20191105000994 |
| Provider Name | Taryn Christina Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033563671 PECOS PAC ID: 9931446374 Enrollment ID: I20201006000269 |
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