MR. TRAVIS STEPHEN SCHAKE (NPI# 1205397866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205397866 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS STEPHEN SCHAKE |
| Credential | PA-C |
| Practice Address |
5959 Big Tree Rd Orchard Park NY 14127-2291 |
| Mailing Address |
22 Chiswick Dr Churchville NY 14428-9407 |
| Practice Telephone | 7162043200 |
| Mailing Telephone | 5857704068 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
023430-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5959 BIG TREE RD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184655946 | Francis John Herrmann | Physical Therapist | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2006-07-06 |
| 1689154999 | Frank Dominic Petrasio | Physical Therapist | 5959 Big Tree Rd, Ste 108, Orchard Park, NY 14127-2291 | 2018-08-16 |
| 1144720947 | Caitlin Virginia Hackford | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-02-19 |
| 1871091348 | Katherine Belle Muff | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-01-30 |
| 1205353067 | Daryl Lindsay Trapper | Nurse Practitioner | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-08-23 |
| 1063946622 | Nora Fiore | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-04-20 |
| 1760843056 | Southtowns Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2016-03-14 |
| 1518323435 | Southtowns Surgery Center LLC | Clinic/Center | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2016-01-07 |
| 1851739460 | Julianne Heidi Nichols | Internal Medicine | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2013-06-06 |
| 1851648794 | Jordan Michael Bergmann | Physical Therapist | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882338 | David Pula Md PC | Orthopaedic Surgery | 3673 Southwestern Blvd, Orchard Park, NY 14127-1740 | 2014-05-05 |
| 1205985645 | Michael Alfred Rauh | Orthopaedic Surgery | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.