MOBILE PHYSICIAN SERVICES PLLC


Address: 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245
Phone: 7162187169

MOBILE PHYSICIAN SERVICES PLLC (NPI# 1194132415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194132415
Entity Type Organization
Organization Name MOBILE PHYSICIAN SERVICES PLLC
Practice Address 640 Ellicott St
Suite 105
Buffalo
NY 14203-1245
Practice Telephone 7162187169
Mailing Telephone 7162187169
Enumeration Date 2014-07-18
Last Update Date 2014-07-18
Authorized Official Name DR. JAMES COLLINS (MD)
Authorized Official Telephone 7162187169
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care 		134888 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 640 ELLICOTT ST
SUITE 105
City BUFFALO
State NY
Zip Code 14203-1245

Providers in the same location

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
1073907713 Kimberly Ann Gruber Nurse Practitioner 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2015-03-19
1912303322 Daniel Rifkin Md, PC Durable Medical Equipment & Medical Supplies 640 Ellicott St, Buffalo, NY 14203-1245 2014-11-12
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
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Providers in the same zip code

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 Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063802155 Jessica Lee Stageberg Nurse Practitioner 303 Catlin St, Buffalo, MN 55313-1947 2015-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528667169 Noemi Villanueva Sta Ana Nurse Practitioner 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 2020-10-24
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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Competitor

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City BUFFALO
Zip Code 14203

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Dataset Information

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.

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