MONICA E FELLENZ


Address: 36 Thomas Indian School Dr, Cattaraugus Indian Reservation Health Center, Irving, NY 14081-9300
Phone: 7165325582

MONICA E FELLENZ (NPI# 1043305246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043305246
Entity Type Individual
Full Name MONICA E FELLENZ
Credential PA
Practice Address 36 Thomas Indian School Dr
Cattaraugus Indian Reservation Health Center
Irving
NY 14081-9300
Practice Telephone 7165325582
Practice Fax Number 7165322597
Mailing Telephone 7165325582
Mailing Fax Number 7165322597
Enumeration Date 2006-10-04
Last Update Date 2009-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 008548 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY INDEPENDENT HEALTH 9513195 01
NY FIDELIS CARE NEW YORK 060822000001 01
NY WNYBCBS 000528450001 01

Office Location

Street Address 36 THOMAS INDIAN SCHOOL DR
CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
City IRVING
State NY
Zip Code 14081-9300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275531444 Amy Ellen Choboy Pharmacist 36 Thomas Indian School Dr, Irving, NY 14081-9300 2005-07-12
1427609346 Christopher S Postle Social Worker 36 Thomas Indian School Dr, Irving, NY 14081-9300 2019-09-23
1689234668 Heidi Lynne Kazmark Counselor 36 Thomas Indian School Dr, Irving, NY 14081-9300 2019-06-20
1558841205 Mary Elizabeth Buck Social Worker 36 Thomas Indian School Dr, Irving, NY 14081-9300 2018-08-21
1952846917 Crystal Leigh Kawski Counselor 36 Thomas Indian School Dr, Irving, NY 14081-9300 2016-12-30
1124563382 Kristen A Meder Counselor 36 Thomas Indian School Dr, Irving, NY 14081-9300 2016-12-27
1154781326 Stephen Fabiano Dentist 36 Thomas Indian School Dr, Irving, NY 14081-9300 2016-03-02
1881089340 Stephanie Solberg Dentist 36 Thomas Indian School Dr, Irving, NY 14081-9300 2015-04-01
1245544782 Lola John-roberts Dentist 36 Thomas Indian School Dr, Irving, NY 14081-9300 2010-07-26
1487985594 Elona Michelle Wasik Pharmacist 36 Thomas Indian School Dr, Irving, NY 14081-9300 2010-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982231890 Seneca Nation of Indians Ambulance 12879 Route 438, Irving, NY 14081 2020-03-23
1710373287 Christopher Zonneville Physical Therapist 845 Main Road, Irving, NY 14081 2015-04-12
1982834271 Lakeshore Orthopedic Group P.C. Specialist 849 Rts 5 & 20, Suite 1, Irving, NY 14081 2009-07-21
1568688877 Edgar Lacson Bangsil Emergency Medicine 845 Route 5 & 20, Irving, NY 14081 2007-04-17
1023232444 Mohammed Sabir Emergency Medicine 845 Routes Five and Twenty, Irving, NY 14081 2007-04-13
1427188457 Tlc Health Network Home Health 12644 Seneca Road, Irving, NY 14081 2007-03-07
1558426841 Maureen Margaret Schichtel Physical Therapist 845 Rt 5& 20, Irving, NY 14081 2006-12-27
1003923103 Michael M Candaras Psychiatry & Neurology 12655 Seneca Rd, Irving, NY 14081 2006-08-24
1609806751 Courtney Carroll Nyitrai Pharmacist Tlc Health Network, 845 Routes 5 &20, Irving, NY 14081 2006-07-04
1437190451 Kevin G Flanagan Audiologist 849 Rt 5 & 20, Irving, NY 14081 2006-06-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063078491 Mahnura Khatoon Siddika Physician Assistant 2443 Newcastle Bnd, Irving, TX 75063-8120 2019-05-10
1639649189 Andrea Lee Kwan Physician Assistant 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 2018-11-27
1356864722 Candace Leann Mullens Physician Assistant 2005 West Park Dr., Ste. 100, Irving, TX 75061 2017-07-18
1588069892 Olga Jigovskaia Physician Assistant 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 2014-10-29
1982030722 Kristen Diane Bachus Physician Assistant 440 W Ih 635 Fwy Ste 405, Irving, TX 75063 2013-09-25
1689707515 Michael D Sullivan Physician Assistant 6500 Sierra Dr Ste 150, Irving, TX 75039-2480 2007-03-13
1174661599 Juan Augustine Galindo Jr. Physician Assistant 6909 Sonoma, Irving, TX 75039-3071 2007-02-01
1396808333 Lori Schomberg Physician Assistant 212 Santa Fe Trl, Apt. # 2042, Irving, TX 75063-4719 2006-12-19
1558384396 Cynthia Ann Goff Physician Assistant 909 Lake Carolyn Pkwy, Irving, TX 75039-3908 2006-07-25
1275563637 Michael Ernest Nicholas Jr. Physician Assistant 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 2006-07-03
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Competitor

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City IRVING
Zip Code 14081

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Dataset Information

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.

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