| Chautauqua Center, Inc. | |
|
75 E 3rd St Dunkirk NY 14048 | |
| (716) 363-6050 | |
| (716) 363-6333 |
| Full Name | Chautauqua Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 75 E 3rd St, Dunkirk, New York |
| Authorized Official Name and Position | Michael C Pease (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7163636050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chautauqua Center, Inc. 75 E 3rd St Dunkirk NY 14048 Ph: (716) 363-6050 | Chautauqua Center, Inc. 75 E 3rd St Dunkirk NY 14048 Ph: (716) 363-6050 |
| NPI Number | 1760747521 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 7214178326 |
|---|---|
| Medicare Enrollment ID | O20130805000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760747521 | NPI | - | NPPES |
| 0376030 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ronald D Greco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508810813 PECOS PAC ID: 4183603871 Enrollment ID: I20040716000056 |
| Provider Name | James Edward Wild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437140985 PECOS PAC ID: 2961312392 Enrollment ID: I20050502000325 |
| Provider Name | Dana P Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629069349 PECOS PAC ID: 5890741847 Enrollment ID: I20050502000347 |
| Provider Name | Patrick E Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255375143 PECOS PAC ID: 1456395318 Enrollment ID: I20051006000721 |
| Provider Name | Christina M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892708 PECOS PAC ID: 9830133164 Enrollment ID: I20060411000161 |
| Provider Name | Susan Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629091681 PECOS PAC ID: 7911902416 Enrollment ID: I20060915000184 |
| Provider Name | Eugenie M Poignard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265473987 PECOS PAC ID: 6406852946 Enrollment ID: I20061006000019 |
| Provider Name | Amy L Livengood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861424186 PECOS PAC ID: 6103827019 Enrollment ID: I20070119000291 |
| Provider Name | Caillean M Mcmahon Tronetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396819066 PECOS PAC ID: 0042302267 Enrollment ID: I20070817000349 |
| Provider Name | Andre A Persaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194796482 PECOS PAC ID: 8426130337 Enrollment ID: I20080131000228 |
| Provider Name | Stella Bard |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457561862 PECOS PAC ID: 4183791817 Enrollment ID: I20080923000323 |
| Provider Name | Tat S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477500304 PECOS PAC ID: 0143299883 Enrollment ID: I20090910000129 |
| Provider Name | Rudolph J Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235157926 PECOS PAC ID: 1254476153 Enrollment ID: I20100318000453 |
| Provider Name | Kandice A Butcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619923232 PECOS PAC ID: 6709879620 Enrollment ID: I20100521000012 |
| Provider Name | Jacob C Mcbride |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013187533 PECOS PAC ID: 1658458054 Enrollment ID: I20100628000128 |
| Provider Name | Bruce A Surosky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215979018 PECOS PAC ID: 1951353671 Enrollment ID: I20120206000007 |
| Provider Name | Julie S Luce |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598904005 PECOS PAC ID: 7113186891 Enrollment ID: I20120315000740 |
| Provider Name | Kristy L Lauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508180282 PECOS PAC ID: 7012141310 Enrollment ID: I20130927000323 |
| Provider Name | Rajiv Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396854055 PECOS PAC ID: 2769617042 Enrollment ID: I20131022000610 |
| Provider Name | Lisa Brathwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396038550 PECOS PAC ID: 0446576888 Enrollment ID: I20150303001075 |
| Provider Name | Jolie E Borland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568833630 PECOS PAC ID: 6406157650 Enrollment ID: I20151214001148 |
| Provider Name | Mary Jill Vaillancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104290915 PECOS PAC ID: 0244531747 Enrollment ID: I20160819002082 |
| Provider Name | Nicole Hinderleider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164978367 PECOS PAC ID: 9436437753 Enrollment ID: I20161020001443 |
| Provider Name | Christopher Saxton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720454556 PECOS PAC ID: 5496063547 Enrollment ID: I20170608000850 |
| Provider Name | Elizabeth K Gehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982923165 PECOS PAC ID: 4183900939 Enrollment ID: I20170725000665 |
| Provider Name | Morgan Monahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578087144 PECOS PAC ID: 2860764537 Enrollment ID: I20170816001725 |
| Provider Name | Elizabeth Kidder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276587 PECOS PAC ID: 9436451283 Enrollment ID: I20181109000039 |
| Provider Name | Jennifer Kay Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134438567 PECOS PAC ID: 1355689571 Enrollment ID: I20190214000526 |
| Provider Name | Kevin Charles Capp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588800155 PECOS PAC ID: 7416143284 Enrollment ID: I20190626001423 |
| Provider Name | Joel D Newburg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093292534 PECOS PAC ID: 9436584935 Enrollment ID: I20200109002909 |
| Provider Name | Zachary Kiendl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104462050 PECOS PAC ID: 8325474638 Enrollment ID: I20200205001553 |
| Provider Name | Alyssa Cathryn Settelmaier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477032928 PECOS PAC ID: 7618227307 Enrollment ID: I20200210001102 |
| Provider Name | Tara Lynn Darling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477974442 PECOS PAC ID: 8123258423 Enrollment ID: I20200731000422 |
| Provider Name | Nixi Cat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828010 PECOS PAC ID: 9739598038 Enrollment ID: I20210517000762 |
| Provider Name | Dana L Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427625573 PECOS PAC ID: 4284037748 Enrollment ID: I20210722000435 |
| Provider Name | Allan Ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245749738 PECOS PAC ID: 5193081479 Enrollment ID: I20210722003643 |
| Provider Name | Nina S Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738750 PECOS PAC ID: 9133523772 Enrollment ID: I20210804002566 |
| Provider Name | Matthew T Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598256190 PECOS PAC ID: 4183977143 Enrollment ID: I20210901001904 |
| Provider Name | William Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225796618 PECOS PAC ID: 4183014087 Enrollment ID: I20211208002884 |
| Provider Name | Clinton T George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606237 PECOS PAC ID: 0143628651 Enrollment ID: I20220307000091 |
| Provider Name | Margaret Elizabeth Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659944171 PECOS PAC ID: 7315327699 Enrollment ID: I20220705000232 |
| Provider Name | Olivia Andriaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902550502 PECOS PAC ID: 4486036100 Enrollment ID: I20220727003556 |
| Provider Name | Mohammad Junayed Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669979563 PECOS PAC ID: 1052781135 Enrollment ID: I20230106000133 |
| Provider Name | Yvonne Calcaterra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417103367 PECOS PAC ID: 1052782661 Enrollment ID: I20230118002262 |
| Provider Name | Kali A Sherbino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497474357 PECOS PAC ID: 9830554179 Enrollment ID: I20230420001635 |
| Provider Name | Leigha A. Schimmoeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609421734 PECOS PAC ID: 8224367859 Enrollment ID: I20230609000325 |
| Provider Name | Phalguni Mitra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932325610 PECOS PAC ID: 6507225166 Enrollment ID: I20230629003925 |
| Provider Name | Nilashri Mukund Naik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295423275 PECOS PAC ID: 2466819669 Enrollment ID: I20230719000908 |
| Provider Name | Morgan Somerset Lehman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891400784 PECOS PAC ID: 4385005289 Enrollment ID: I20230725001489 |
| Provider Name | Monika Magdalena Kudla |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700913019 PECOS PAC ID: 7113389024 Enrollment ID: I20230809002264 |
| Provider Name | Eric Paul Sager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841856374 PECOS PAC ID: 0143682682 Enrollment ID: I20230815001824 |
| Provider Name | Hannah Procida Winters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588121545 PECOS PAC ID: 9638531940 Enrollment ID: I20230818001338 |
| Provider Name | Mandi Ranee Kuppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780309039 PECOS PAC ID: 1951763101 Enrollment ID: I20230821000222 |
| Provider Name | Melissa Mae Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235836115 PECOS PAC ID: 1153784665 Enrollment ID: I20230831001455 |
| Provider Name | Duncan A Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538942388 PECOS PAC ID: 8123482031 Enrollment ID: I20230911004077 |
| Provider Name | Kathryn Celine Pacy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780467548 PECOS PAC ID: 3476917238 Enrollment ID: I20230912002444 |
| Provider Name | Laura A Lack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241747 PECOS PAC ID: 8921452921 Enrollment ID: I20230925002845 |
| Provider Name | Marilyn Wallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750069092 PECOS PAC ID: 6406202795 Enrollment ID: I20231023002142 |
| Provider Name | Steven Michael Warden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265044275 PECOS PAC ID: 7517316813 Enrollment ID: I20231212002997 |
| Provider Name | Ellerie Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669093993 PECOS PAC ID: 9436560067 Enrollment ID: I20231222002767 |
| Provider Name | Erika Doverspike |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326814559 PECOS PAC ID: 2567814353 Enrollment ID: I20240117002278 |
| Provider Name | Kiyomi Hokyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821470402 PECOS PAC ID: 6204273519 Enrollment ID: I20240322000357 |
General Physician, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3898 Vineyard Dr, Dunkirk, NY 14048 Phone: 716-692-3302 | |
Tat Sum Lee, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3898 Vineyard Dr, Dunkirk, NY 14048 Phone: 716-363-1515 Fax: 716-363-7677 | |
C & S Medical Bldg. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Lake Shore Dr W, Dunkirk, NY 14048 Phone: 716-363-6377 |