EMMA BLACKLEY (NPI# 1154842284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154842284 |
| Entity Type | Individual |
| Full Name | EMMA BLACKLEY |
| Credential | PA |
| Practice Address |
875 Ellicott St Buffalo NY 14203-1070 |
| Mailing Address |
697 East Ave Lockport NY 14094-3303 |
| Practice Telephone | 7167482100 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020869 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 ELLICOTT ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370116 | Leo Nelson Hopkins | Neurological Surgery | 875 Ellicott St, Neurosurgery, Buffalo, NY 14203-1070 | 2006-03-17 |
| 1457999187 | Taylor Akins | Nurse Practitioner | 875 Ellicott St, Buffalo, NY 14203-1070 | 2019-12-12 |
| 1407215932 | Susan Elizabeth Demarco | Nurse Practitioner | 875 Ellicott St, Buffalo, NY 14203-1070 | 2016-02-11 |
| 1669842787 | Thomas Waitao Chu | Dermatology | 875 Ellicott St, Ctrc Rm 6080, Buffalo, NY 14203-1070 | 2015-10-01 |
| 1437528197 | Accutheranostics, Inc | Clinical Medical Laboratory | 875 Ellicott St, Suite 5080, Buffalo, NY 14203-1070 | 2015-09-23 |
| 1144608407 | Stacy Beaver | Nurse Practitioner | 875 Ellicott St, Buffalo, NY 14203-1070 | 2015-05-07 |
| 1033304431 | Saurabh Malhotra | Internal Medicine | 875 Ellicott St, Suite 7030, Buffalo, NY 14203-1070 | 2007-09-09 |
| 1063502235 | Andrew Henry Talal | Internal Medicine | 875 Ellicott St, Suite 6090, Buffalo, NY 14203-1070 | 2006-10-16 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| 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.