THEODORE C ONDRACEK (NPI# 1093786287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093786287 |
| Entity Type | Individual |
| Full Name | THEODORE C ONDRACEK |
| Credential | MD |
| Practice Address |
100 High St Buffalo NY 14203-1126 |
| Practice Telephone | 7168595600 |
| Mailing Telephone | 7168595600 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD25555 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CLIA | 38D0627400 | 01 |
| OK | RAILROAD | P00188466 | 01 |
| OR | 022893 | 05 |
| Street Address |
100 HIGH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712077 | Kristen M Salvamoser | Physician Assistant | 100 High St, Buffalo, NY 14203-1126 | 2005-07-05 |
| 1801401765 | Sheena Deering | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-09-08 |
| 1528679321 | Sarah E Hinterberger | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-14 |
| 1841801537 | Amanda Scafetta | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-14 |
| 1023629938 | Ashlie Graham | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-13 |
| 1740800747 | Brian Girard | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-20 |
| 1558981761 | Jule Deren | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-17 |
| 1164041505 | Matthew Jon Peterson | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-15 |
| 1679192249 | Garrett Skinner | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-13 |
| 1245859065 | Kenan Rodwan Rajjoub | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-12 |
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| 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 |
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| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347889 | Hyunseok Peter Kang | Pathology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2007-07-06 |
| 1902003130 | You-wen Qian | Pathology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2007-06-29 |
| 1568678399 | Brigid M Hannahoe | Pathology | 100 High St, Buffalo, NY 14203-1126 | 2007-05-16 |
| 1104994821 | Joyce Marie Paterson | Pathology | 100 High St, Buffalo, NY 14203-1126 | 2006-12-01 |
| 1578535613 | Samuel Goodloe | Pathology | 3 Gates Cir, Millard Fillmore Hospital, Buffalo, NY 14209-1120 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376945139 | Faisal Huq Ronny | Pathology | 227 Madison St Rm No4.170, New York, NY 10002-7537 | 2014-09-23 |
| 1457790859 | Smita Chirag Patel | Pathology | 622 W 168th St Ph 15, New York, NY 10032 | 2013-06-19 |
| 1609135573 | Daniel A Green | Pathology | 622 W 168th St Dept Of, New York, NY 10032-3720 | 2012-05-11 |
| 1770726994 | Pin Kie Teng | Pathology | 70-20 Ingram Street, Forest Hills, NY 11375 | 2009-04-17 |
| 1629262522 | Joseph James Woods | Pathology | 482 Manchester Rd, Yorktown Heights, NY 10598-1204 | 2007-09-04 |
| 1528281821 | Western New York Urology Associates LLC | Pathology | 2732 Transit Rd, West Seneca, NY 14224-2523 | 2007-04-11 |
| 1164537338 | Yong Mei Yin | Pathology | 141 Combs Ave, Woodmere, NY 11598-1432 | 2006-08-20 |
| 1134159494 | Joel H Saltz | Pathology | Bst Level 9 Rm 140, Stony Brook, NY 11794-8691 | 2006-07-03 |
| 1861431777 | Pradeep Prasad Dhital | Pathology | 900 Franklin Avenue, Valley Stream, NY 11580-4164 | 2006-06-06 |
| 1356389449 | Morayma Reyes Gil | Pathology | 111 E 210th St # 303, Bronx, NY 10467-2401 | 2006-06-02 |
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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.