MR. BRANDON MICHAEL COBURN (NPI# 1083857270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083857270 |
Entity Type | Individual |
Full Name | MR. BRANDON MICHAEL COBURN |
Credential | MS, RN, ANP-BC |
Practice Address |
210 Center Rd Apt 7 Buffalo NY 14224-1971 |
Practice Telephone | 7163200660 |
Mailing Telephone | 7163200660 |
Enumeration Date | 2009-04-17 |
Last Update Date | 2015-02-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
305118 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
305118 | NY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
305118 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932706744 | Brandon Lee Coburn | Physician Assistant | 107 Staunton Dr, Weston, WV 26452-5604 | 2020-10-05 |
Street Address |
210 CENTER RD APT 7 |
City | BUFFALO |
State | NY |
Zip Code | 14224-1971 |
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 | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1063802155 | Jessica Lee Stageberg | Nurse Practitioner | 303 Catlin St, Buffalo, MN 55313-1947 | 2015-01-28 |
1194132415 | Mobile Physician Services Pllc | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2014-07-18 |
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1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
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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.