ASHLEY L WYANT (NPI# 1003285552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003285552 |
| Entity Type | Individual |
| Full Name | ASHLEY L WYANT |
| Other Name | ASHLEY LYN NEISEN |
| Credential | PA-C |
| Practice Address |
1021 Broadway St Buffalo NY 14212-1460 |
| Mailing Address |
184 Barton St Buffalo NY 14213-1573 |
| Practice Telephone | 7165292030 |
| Mailing Telephone | 7168816191 |
| Mailing Fax Number | 7168816247 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 021113-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 021113 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05022115 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Summer St, Buffalo, NY 142092256 | 7162481420 | 7162482026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610021 | Ashley Elaine Wyant | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2018-12-06 |
| Street Address |
1021 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1780285296 | Mental Health Association of Erie County | Peer Specialist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2020-11-03 |
| 1952893091 | Jericho Road Ministries, Inc. | Clinic/Center | 1021 Broadway St, Buffalo, NY 14212-1460 | 2018-06-05 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1316358609 | Kayla Jean Garcia | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2014-05-08 |
| 1962820100 | Colleen Weseloh | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2014-04-04 |
| 1730522541 | Aung Ko Ko Thant | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2013-04-10 |
| 1689909160 | Patricia Joy Pitts | Pharmacist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| 1750667473 | Catherine Ann Jankowiak | Registered Nurse | 166 Halstead Ave, Sloan, NY 14212 | 2011-10-26 |
| 1215254453 | Constance Andrea Smith | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-28 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.