MR. JOHN DAVID SISTI (NPI# 1013277276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013277276 |
| Entity Type | Individual |
| Full Name | MR. JOHN DAVID SISTI |
| Credential | OSC |
| Practice Address |
6167 W Quaker St Orchard Park NY 14127-2640 |
| Practice Telephone | 7166625609 |
| Practice Fax Number | 7166625700 |
| Mailing Telephone | 7166625609 |
| Mailing Fax Number | 7166625700 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679603096 | John Alan Sisti | Optometrist | 566 Toll Gate Rd, Warwick, RI 02886-2716 | 2007-03-06 |
| Street Address |
6167 W QUAKER ST |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902919400 | Kathleen P Biron | Physical Therapist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2006-08-17 |
| 1033734116 | Michaela Mondo | Student in an Organized Health Care Education/Training Program | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2020-06-14 |
| 1366073066 | Patricia Whittall | Student in an Organized Health Care Education/Training Program | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2020-01-31 |
| 1528605003 | Sara Elizabeth Kineke | Case Manager/Care Coordinator | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2019-12-04 |
| 1972146587 | Lauren Kessler | Occupational Therapist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2019-10-26 |
| 1376103861 | Brooke Elizabeth Schutrum | Speech-Language Pathologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2019-06-17 |
| 1477025922 | Dina M Lucas | Occupational Therapist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2018-12-21 |
| 1053889279 | Riley Marion | Physical Therapist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2018-11-06 |
| 1447745872 | Rachael Carmela Divita | Speech-Language Pathologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2018-06-27 |
| 1952893687 | Renee Herman | Speech-Language Pathologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605003 | Sara Elizabeth Kineke | Case Manager/Care Coordinator | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2019-12-04 |
| 1881246817 | Kimberly Dionne Brooks | Case Manager/Care Coordinator | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-07-10 |
| 1427551324 | Aaron Reslink | Case Manager/Care Coordinator | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-03-16 |
| 1598178774 | Shannon Kate Barber | Case Manager/Care Coordinator | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2014-06-05 |
| 1104250638 | Sarah Marie Dolph | Case Manager/Care Coordinator | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2013-09-03 |
| 1003155292 | Kara A Gerace | Case Manager/Care Coordinator | 40 Centre Dr, Orchard Park, NY 14127-4100 | 2013-02-07 |
| 1164769915 | Anna Marie Healy | Case Manager/Care Coordinator | 40 Centre Dr, Orchard Park, NY 14127-4100 | 2013-01-14 |
| 1467799213 | Jennifer M Bottororff | Case Manager/Care Coordinator | 40 Centre Dr, Orchard Park, NY 14127-4100 | 2013-01-14 |
| 1437404605 | Jodie Ann-rene Mccarthy | Case Manager/Care Coordinator | 40 Centre Dr, Suite A, Orchard Park, NY 14127-4100 | 2012-07-13 |
| 1285998534 | Leanne Ashley Kozaczka | Case Manager/Care Coordinator | 40 Centre Dr, Suite A, Orchard Park, NY 14127-4100 | 2012-07-02 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.