DR. TARA LYN REIMER (NPI# 1295763670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295763670 |
| Entity Type | Individual |
| Full Name | DR. TARA LYN REIMER |
| Credential | MD |
| Practice Address |
24 Carrow St Orchard Park NY 14127-2604 |
| Practice Telephone | 7166623443 |
| Practice Fax Number | 7169720374 |
| Mailing Telephone | 7166623443 |
| Mailing Fax Number | 7169720374 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
231912 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS/BLUE SHIELD (HEALTH NOW) | 000527699001 | 01 |
| NY | 02563968 | 05 | |
| NY | UNIVERA HEALTHCARE | 00026878601 | 01 |
| NY | INDEPENDENT HEALTH ASSOCIATION | 1212532 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821424300 | Tara Reimer | Social Worker | 736 N York Rd, Hinsdale, IL 60521-3535 | 2013-09-17 |
| Street Address |
24 CARROW ST |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393708 | Steven Daniel Weiss | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-04-03 |
| 1902098494 | Carrow Street Pediatrics, Pllc | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2007-08-17 |
| 1891896296 | Tonya Lea Gruttaria | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-26 |
| 1205937513 | Beth Mara Weiss | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-26 |
| 1366541427 | Christie Leigh Koedel | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-22 |
| 1982619433 | Joseph T. Kita | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-07-30 |
| 1437117553 | Theresa Marie Wegman | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-05-01 |
| 1003873316 | Suzanne Lignos | Family Medicine | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-04-28 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393708 | Steven Daniel Weiss | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-04-03 |
| 1205029097 | Nicole Niedzwiedz | Pediatrics | 3725 N Buffalo St, Suite A, Orchard Park, NY 14127-1853 | 2007-08-24 |
| 1902098494 | Carrow Street Pediatrics, Pllc | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2007-08-17 |
| 1982619433 | Joseph T. Kita | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-07-30 |
| 1437117553 | Theresa Marie Wegman | Pediatrics | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| 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.