JEFFREY W BERNDTSON (NPI# 1457340689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457340689 |
| Entity Type | Individual |
| Full Name | JEFFREY W BERNDTSON |
| Credential | M.D. |
| Practice Address |
3345 Southwestern Blvd Orchard Park NY 14127-1506 |
| Mailing Address |
6255 Sheridan Dr Ste 108 Williamsville NY 14221-4825 |
| Practice Telephone | 7166564826 |
| Practice Fax Number | 7162505981 |
| Mailing Telephone | 7166301219 |
| Mailing Fax Number | 7168171726 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 224211 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02280404 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1208 Niagara Falls Blvd, Tonawanda, NY 141508924 | 7168337112 |
| Street Address |
3345 SOUTHWESTERN BLVD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446432 | Nyala Ahmed | Counselor | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2020-08-03 |
| 1831725670 | Megan Rutkowski | Counselor | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2020-03-12 |
| 1134569502 | Alexandra M Cellino | Physician Assistant | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2013-07-01 |
| 1538486576 | Brian Alan Herbst | Family Medicine | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2010-04-30 |
| 1164583571 | Christine E Carron | Nurse Practitioner | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-12-12 |
| 1508937798 | Noel B Ridge | Physician Assistant | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-11-11 |
| 1306895800 | Laura Ureta | Dermatology | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-05-10 |
| 1841256468 | Michael R Cellino | Internal Medicine | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-04-22 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894522 | South Towns Surgical Associates P.C. | Surgery | 310 Sterling Drive, Suite 105, Orchard Park, NY 14127 | 2006-05-04 |
| 1831193580 | Daniel J Patterson | Surgery | 3900 N Buffalo St, Orchard Park, NY 14127 | 2005-06-10 |
| 1497758064 | Daniel Andrew Leary IIi | Surgery | 3041 Orchard Park Rd, D, Orchard Park, NY 14127-1208 | 2005-05-27 |
| 1902159304 | Alvarez Md & Leary Md PC | Surgery | 3041 Orchard Park Rd, D, Orchard Park, NY 14127-1208 | 2012-10-23 |
| 1427288463 | Aislinn Scarbinsky | Surgery | 3900 N Buffalo St, Orchard Park, NY 14127 | 2009-07-24 |
| 1306080619 | William Frederick Bevilacqua | Surgery | 3041 Orchard Park Rd, Suite D, Orchard Park, NY 14127-1208 | 2009-04-30 |
| 1306840046 | Julio A Alvarez-perez | Surgery | 3041 Orchard Park Rd, D, Orchard Park, NY 14127-1208 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| 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.