ALFREDO M RODES (NPI# 1477539823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477539823 |
| Entity Type | Individual |
| Full Name | ALFREDO M RODES |
| Credential | M.D. |
| Practice Address |
640 Ellicott St Suite 105 Buffalo NY 14203-1245 |
| Practice Telephone | 7168931010 |
| Practice Fax Number | 7162352636 |
| Mailing Telephone | 7168931010 |
| Mailing Fax Number | 7162352636 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 207147 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BC/BS | 000524430006 | 01 |
| NY | PREFERRED CARE | 145837BJ | 01 |
| NY | FIDELIS | 040426035668 | 01 |
| NY | WELLCARE | 403066 | 01 |
| NY | UNIVERA | 00010199503 | 01 |
| NY | 01670020 | 05 | |
| NY | IHA | 0408448 | 01 |
| Street Address |
640 ELLICOTT ST SUITE 105 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194132415 | Mobile Physician Services Pllc | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2014-07-18 |
| 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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| 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 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1992216907 | Providence Therapeutics, LLC | Internal Medicine | 141 Elm St Apt 3c, Buffalo, NY 14203-2083 | 2017-10-17 |
| 1598291866 | Muhammad Umar Bilal | Internal Medicine | 2157 Main Street, 5th Floor, University At Buffalo Chs Internal Medicine Training Pr, Buffalo, NY 14214 | 2017-05-05 |
| 1487180105 | Sandeep Kumar | Internal Medicine | 100 High Street - Buffalo General Medical Center, Buffalo, NY 14203 | 2017-05-02 |
| 1194072405 | Shameem Ahmad Beigh | Internal Medicine | 2157 Main Street, Sisters of Charity Hospital, Internal Medicine Residency Program, Buffalo, NY 14214-2080 | 2012-08-07 |
| 1598086902 | Lionel A. Sifontes, M.d, P.C. | Internal Medicine | 2772 Main St, Buffalo, NY 14214-1704 | 2010-06-21 |
| 1023338118 | Jeremiah O Sullivan Md PC | Internal Medicine | 2218 Main St, Buffalo, NY 14214-2635 | 2010-06-11 |
| 1518198993 | Marija Radovic | Internal Medicine | General Internal Medicine-e2 Buffalo General Hospital, 100 High Street, Buffalo, NY 14203 | 2009-08-03 |
| 1104075308 | Jiyeon Jung | Internal Medicine | 1500 Broadway Ave, Buffalo, NY 14212-1845 | 2008-09-11 |
| 1770778045 | Manoj Jacob Mammen | Internal Medicine | 100 High St # B-8, Department of Medicine, Buffalo, NY 14203-1126 | 2007-09-10 |
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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.