KATRINA MICHELLE VANKOUWENBERG


Address: 3085 Harlem Rd, Cheektowaga, NY 14225-2591
Phone: 7168445000

KATRINA MICHELLE VANKOUWENBERG (NPI# 1275027112) 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) 1275027112
Entity Type Individual
Full Name KATRINA MICHELLE VANKOUWENBERG
Credential PA
Practice Address 3085 Harlem Rd
Cheektowaga
NY 14225-2591
Mailing Address 3085 Harlem Rd Ste 350
Cheektowaga
NY 14225-2591
Practice Telephone 7168445000
Practice Fax Number 7168445750
Mailing Telephone 7168445600
Mailing Fax Number 7168445750
Enumeration Date 2018-06-14
Last Update Date 2019-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3085 HARLEM RD
City CHEEKTOWAGA
State NY
Zip Code 14225-2591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650016 Joseph M Greco Urology 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2563 2005-06-28
1275968141 Olia Golimowski Nurse Practitioner 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 2013-09-10
1245664721 Daniel Philip Reed Physician Assistant 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 2013-09-03
1194169599 Karen Anne Pane Registered Nurse 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 2013-04-29
1316200348 Emma L Harrington Nurse Practitioner 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 2012-06-25
1215224365 Integrated Clinical Services Radiology 3085 Harlem Rd, Ste 350, Cheektowaga, NY 14225-2591 2011-07-08
1144535675 Danielle Renee Paolini Physician Assistant 3085 Harlem Rd, Suite 300, Cheektowaga, NY 14225-2591 2010-08-09
1174788541 Haider Ali Khadim Internal Medicine 3085 Harlem Rd, Suite 300, Cheektowaga, NY 14225-2591 2008-07-24
1568627339 Jaime Fetes Physician Assistant 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 2008-07-22
1477736478 Meeghan Ann Lautner Surgery 3085 Harlem Rd, Ste 300, Cheektowaga, NY 14225-2591 2007-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124639885 Jennifer Marki Specialist/Technologist 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 2020-08-14
1609498138 Schulz, Adult Health Np, Pllc Nurse Practitioner 678 Cleveland Drive, Cheektowaga, NY 14225 2020-05-06
1790252914 Jacob William Debell Student in an Organized Health Care Education/Training Program 3469 Harlem Road, Cheektowaga, NY 14225 2018-10-25
1114441284 Michael P Gugliuzza Emergency Medical Technician, Paramedic 239 Westbook Dr, Cheektowaga, NY 14225 2017-08-01
1841720307 Buffalo Dental Implant Dentist 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 2017-06-18
1396279741 Jacob Habermehl Specialist/Technologist 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 2017-04-12
1588196901 Cha Vu Dentist 2521 Walden Ave, Buffalo, NY 14225 2017-04-03
1881040244 Amanda Sanders Licensed Practical Nurse 21 Kingswood Dr, Cheektowaga, NY 14225 2016-05-04
1255748638 Valerie Knowles Licensed Practical Nurse 3527 Harlem Road, Cheektowaga, NY 14225 2014-07-17
1043569585 Mark Timothy Morreale Optometrist 2000 Walden Avenue, Cheektowaga, NY 14225 2012-08-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164997193 Michael Jeffrey Gandt Physician Assistant 861 George Urban Blvd, Cheektowaga, NY 14225-4203 2018-10-05
1366447765 Amy Jeanene Munro Physician Assistant 3884 Broadway, Cheektowaga, NY 14227-1104 2005-06-14
1669094140 Abby Leigh Clulow Physician Assistant 2625 Harlem Rd, Cheektowaga, NY 14225-4031 2020-05-07
1477103448 Mary Elizabeth Wesolowski Physician Assistant 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 2019-09-12
1679135297 Anna Christine Mcgorry Physician Assistant 2355 Union Rd, Cheektowaga, NY 14227-2234 2019-07-03
1548821150 Emily D Gray Physician Assistant 2625 Harlem Rd Ste 240, Cheektowaga, NY 14225-4031 2019-06-25
1972072098 Christopher Barbolini Physician Assistant 3091 William St, Cheektowaga, NY 14227-1919 2018-11-19
1073094769 Krista Lauren Blask Physician Assistant 2605 Harlem Rd, Cheektowaga, NY 14225-4018 2018-08-22
1942709357 Marina Nicole Maslek Physician Assistant 2625 Harlem Rd, Cheektowaga, NY 14225-4031 2018-02-12
1255863130 Kyle Cullen Physician Assistant 4225 Genesee St, Cheektowaga, NY 14225-1994 2017-03-30
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Competitor

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City CHEEKTOWAGA
Zip Code 14225

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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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