KIMBERLY ANN GRUBER (NPI# 1073907713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907713 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN GRUBER |
| Practice Address |
640 Ellicott St Suite 105 Buffalo NY 14203-1245 |
| Mailing Address |
1150 Youngs Rd Ste 104 Williamsville NY 14221-8024 |
| Practice Telephone | 7168931010 |
| Mailing Telephone | 7166367990 |
| Mailing Fax Number | 7166367990 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339516-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233595 | Kimberly Ann Gruber | Counselor | 1432 Easton Rd Ste 5a, Warrington, PA 18976-2853 | 2019-06-13 |
| 1669946430 | Kimberly Gruber | Counselor | 110 Trealout Dr Ste 104, Fenton, MI 48430-3211 | 2019-01-15 |
| Street Address |
640 ELLICOTT ST SUITE 105 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539823 | Alfredo M Rodes | Internal Medicine | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2005-12-19 |
| 1396190450 | Joshua Laird Carpenter | Physician Assistant | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2016-04-26 |
| 1740641182 | Sandra Lee Winiasz | Physician Assistant | 640 Ellicott St, Suite #105, Buffalo, NY 14203-1245 | 2016-03-13 |
| 1164882064 | Alie Gilbert | Physician Assistant | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2016-03-04 |
| 1952772154 | Christine Wandzilak | Nurse Practitioner | 640 Ellicott St, Buffalo, NY 14203-1245 | 2015-10-13 |
| 1912303322 | Daniel Rifkin Md, PC | Durable Medical Equipment & Medical Supplies | 640 Ellicott St, Buffalo, NY 14203-1245 | 2014-11-12 |
| 1194132415 | Mobile Physician Services Pllc | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2014-07-18 |
| 1497021067 | Apnea Care Inc. | Durable Medical Equipment & Medical Supplies | 640 Ellicott St, Buffalo, NY 14203-1245 | 2012-03-28 |
| 1669673349 | Mobile Primary Care Family Nurse Practitioners, Pllc | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2007-05-30 |
| 1649245812 | Edward J Metzger Jr. | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176590 | Karen A Frost | Nurse Practitioner | 11 Donlen Dr, Buffalo, NY 14225-2525 | 2020-08-28 |
| 1922624725 | Sarah Elizabeth Scullion | Nurse Practitioner | 410 Abbott Rd, Buffalo, NY 14220-1634 | 2020-06-18 |
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1538795083 | Marissa El Hawa | Nurse Practitioner | 308 Parkdale Ave, Buffalo, NY 14213-1431 | 2020-03-17 |
| 1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
| 1093376121 | Patrisha Jane Neff | Nurse Practitioner | 12009 Mineral Ave, Buffalo, OH 43722 | 2019-06-28 |
| 1699336230 | Taylor Jean Tamburlin | Nurse Practitioner | 2240 N Forest Rd, Buffalo, NY 14221-1357 | 2019-06-25 |
| 1447815436 | Susan My Nghe | Nurse Practitioner | 1458 Sheridan Dr, Buffalo, NY 14217-1249 | 2019-05-05 |
| 1457914228 | Scot Lee Yarnell | Nurse Practitioner | 310 S Pacific St, Buffalo, KS 66717-2140 | 2019-04-17 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 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.