MRS. KRISTA MOLISON CLONTZ (NPI# 1093955726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093955726 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA MOLISON CLONTZ |
| Credential | ANP |
| Practice Address |
85 High St Buffalo Buffalo NY 14203-1149 |
| Mailing Address |
425 Essjay Rd Ste 170 Williamsville NY 14221-8235 |
| Practice Telephone | 7166301000 |
| Practice Fax Number | 7166301054 |
| Mailing Telephone | 7166301219 |
| Mailing Fax Number | 7168171726 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
305074 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
426857 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 295 Essjay Rd, Williamsville, NY 142218216 | 7166301000 | |
| 3900 N Buffalo Rd., Williamsville, NY 14221 | 7166301000 |
| Street Address |
85 HIGH ST BUFFALO |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254840 | David Jeffrey Rodman | Ophthalmology | 85 High St, Buffalo, NY 14203-1149 | 2005-09-01 |
| 1114540242 | Madalyn M Rossi | Pharmacist | 85 High St, Buffalo, NY 14203-1149 | 2020-05-23 |
| 1922638188 | Stephen Cicero | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2020-01-16 |
| 1699318030 | Buffalo Medical Group, PC | Clinic/Center | 85 High St, Buffalo, NY 14203-1149 | 2019-10-17 |
| 1548810740 | Robert A Sperrazza | Physician Assistant | 85 High St, Buffalo, NY 14203-1194 | 2019-09-19 |
| 1609423375 | Elizabeth Maguder | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2019-08-19 |
| 1093368144 | Bridget Patricia Smith | Physician Assistant | 85 High St, Buffalo, NY 14203-1194 | 2019-07-18 |
| 1497314785 | Christopher Robert Kaiser | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2019-06-10 |
| 1114585692 | Robert Allan Bennett | Pharmacist | 85 High St, Buffalo, NY 14203-1149 | 2019-05-30 |
| 1114581782 | Ninad Sanghani | Nurse Practitioner | 85 High St, Buffalo, NY 14203-1149 | 2019-04-29 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408372 | Syntyia La'tierra Taylor | Nurse Practitioner | 515 Abbott Rd Ste 408, Buffalo, NY 14220-1700 | 2018-12-16 |
| 1346743598 | Shelby Milan Belair | Nurse Practitioner | 3980 Sheridan Dr # D, Buffalo, NY 14226-1727 | 2018-03-14 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1295194652 | Viktoriya Mccarthy | Nurse Practitioner | 737 Main St Ste 300, Buffalo, NY 14203-1335 | 2016-02-15 |
| 1952553463 | Nerfis Elminowski | Nurse Practitioner | 2234 Seneca St, Buffalo, NY 14210-2438 | 2008-10-15 |
| 1275701187 | Suzanne Marie Barrett | Nurse Practitioner | Millard Fillmore Gates Facility 3 Gates Circle, Cmicu, Buffalo, NY 14209 | 2008-02-13 |
| 1346308475 | Cheryl Marie Zachewicz | Nurse Practitioner | 50 Lakefont Blvd, Buffalo, NY 14202-4327 | 2006-12-04 |
| 1508877267 | Nicole Lee Kroll | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-08-10 |
| 1346223583 | Marilyn Melnyk | Nurse Practitioner | 2001 Main St, Buffalo, NY 14208-1035 | 2005-11-22 |
| 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.