BRAIN & SPINE MEDICAL SERVICES PLLC (NPI# 1073631644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073631644 |
| Entity Type | Organization |
| Organization Name | BRAIN & SPINE MEDICAL SERVICES PLLC |
| Other Organization Name | DIA INVISION HEALTH |
| Practice Address |
400 International Drive Williamsville NY 14221-8243 |
| Mailing Address |
400 International Dr Williamsville NY 14221-5771 |
| Practice Telephone | 7166313555 |
| Practice Fax Number | 7166319525 |
| Mailing Telephone | 7166313555 |
| Mailing Fax Number | 7166319525 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. MICHAEL KENNETH LANDI (PRESIDENT/CEO) |
| Authorized Official Telephone | 7166313555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | X009257 | NY | Chiropractic Providers |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
080912 | NY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 201459 | NY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 113895 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
237910 | NY | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 012275 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 027519 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 016278 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363A00000X | Physician Assistant | 008168 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 009406 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 007834 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 010928 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207T00000X | Neurological Surgery | 239975 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00025085902 | 01 |
| Other Name | Type Code |
|---|---|
| DIA Invision Health | Doing Business As Name - Organization |
| Invision Health | Doing Business As Name - Organization |
| Street Address |
400 INTERNATIONAL DRIVE |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730689779 | Rosemarie Zonetti | Massage Therapist | 400 International Drive, Spa 400, Williamsville, NY 14221-1422 | 2018-02-16 |
| 1104369941 | Chelsea Coyne | Massage Therapist | 400 International Drive, Williamsville, NY 14221 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063734515 | Ismet Hallac | Neurological Surgery | 5445 Transit Rd, Williamsville, NY 14221-2778 | 2010-02-25 |
| 1790834760 | Tcd Medical Testing Pllc | Neurological Surgery | 373 Dan Troy Dr, Williamsville, NY 14221-3513 | 2007-01-09 |
| 1831152701 | Peter Kinkel | Neurological Surgery | 5 Limestone Dr, Suite B, Williamsville, NY 14221-7178 | 2006-04-10 |
| 1942285739 | Douglas B Moreland | Neurological Surgery | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2005-12-14 |
| 1386927192 | Tobias Alecio Mattei | Neurological Surgery | 400 International Dr., Williamsville, NY 14221 | 2011-09-28 |
| 1487971818 | Jeffrey Paul Mullin | Neurological Surgery | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2010-04-25 |
| 1740479567 | Erie Niagara Neurosurgery Pllc | Neurological Surgery | 18 Limestone Dr, Suite 2, Williamsville, NY 14221-8602 | 2007-10-17 |
| 1356563381 | Ryan Peter Denhaese | Neurological Surgery | 19 Limestone Dr, Suite 11, Williamsville, NY 14221-7091 | 2007-05-02 |
| 1134151210 | Gregory John Bennett | Neurological Surgery | 18 Limestone Dr, Suite 2, Williamsville, NY 14221-8602 | 2006-07-07 |
| 1437116308 | Michael Kenneth Landi | Neurological Surgery | 400 International Dr., Williamsville, NY 14221 | 2006-04-26 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.