EDWARD R VARGO JR. (NPI# 1043295843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043295843 |
| Entity Type | Individual |
| Full Name | EDWARD R VARGO JR. |
| Credential | RPAC |
| Practice Address |
550 Orchard Park Rd Ste A105 West Seneca NY 14224-2646 |
| Practice Telephone | 7166776000 |
| Practice Fax Number | 7166776006 |
| Mailing Telephone | 7166776000 |
| Mailing Fax Number | 7166776006 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0069691 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01998627 | 05 | |
| NY | BLUE CROSS BLUE SHIELD | 000570211001 | 01 |
| NY | UNIVERA HEALTHCARE | 00026502301 | 01 |
| NY | INDEPENDENT HEALTH | 9512129 | 01 |
| Street Address |
550 ORCHARD PARK RD STE A105 |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169875 | Timothy R Rasmusson | Surgery | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2005-07-28 |
| 1497259584 | Kara Jean Colburn | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-03-22 |
| 1700388394 | Richard Duderwick | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-02-28 |
| 1396252029 | Kayla Susan Limardi | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-01-03 |
| 1023529849 | Rachel M Kistner | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2017-10-19 |
| 1588108765 | Courtney Moran | Nurse Practitioner | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2016-12-07 |
| 1346797354 | Dr.mark S. St.marie Physician Pllc | Preferred Provider Organization | 550 Orchard Park Rd, Building A Suite 104, West Seneca, NY 14224-2646 | 2016-09-07 |
| 1437531696 | Anne Marie Nikirk | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2015-06-24 |
| 1174934319 | Kara Trippi | Speech-Language Pathologist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-05-09 |
| 1790107399 | Ronald Schenk | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952766 | Megan Brown | Physician Assistant | 550 Orchard Park Rd., Suite B103, West Seneca, NY 14224 | 2008-08-25 |
| 1023529849 | Rachel M Kistner | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2017-10-19 |
| 1851331839 | Jason Daniel Fabianski | Physician Assistant | 550 Orchard Park Rd, Building B, Suite 105, West Seneca, NY 14224-2646 | 2006-06-07 |
| 1598737140 | Paula Marie Miller | Physician Assistant | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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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.