MISS CRYSTAL MARIE AMMERMAN (NPI# 1487882403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487882403 |
| Entity Type | Individual |
| Full Name | MISS CRYSTAL MARIE AMMERMAN |
| Other Name | CRYSTAL AMMERMAN |
| Practice Address |
3775 Southwestern Blvd Suite A Orchard Park NY 14127-2159 |
| Practice Telephone | 7186671980 |
| Practice Fax Number | 7166671982 |
| Mailing Telephone | 7186671980 |
| Mailing Fax Number | 7166671982 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
013311-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3775 SOUTHWESTERN BLVD SUITE A |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243522 | Diana Viola Medina | Nurse Practitioner | 3775 Southwestern Blvd, Ste A, Orchard Park, NY 14127 | 2005-08-24 |
| 1013479070 | Sara Ann Fagyas | Nurse Practitioner | 3775 Southwestern Blvd, Orchard Park, NY 14127-2159 | 2019-04-01 |
| 1144461138 | Jessica Anne Dorsey | Massage Therapist | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2009-03-20 |
| 1710164066 | Loubert S Suddaby Md PC | Neurological Surgery | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2008-01-29 |
| 1750412136 | Loubert S Suddaby Md PC | Specialist | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2007-03-08 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205110020 | Cassandra Marie Piccione | Physician Assistant | 3671 Southwestern Blvd Ste 207, Orchard Park, NY 14127-1749 | 2011-09-29 |
| 1720599509 | Joseph Meindl | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2017-10-19 |
| 1699037093 | Lindsey N Konst | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2012-06-12 |
| 1245380997 | Josie A Caruana | Physician Assistant | 310 Sterling Drive, Suite 105, Orchard Park, NY 14127-1569 | 2007-01-12 |
| 1013933597 | Barbara Y Whiteside | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on MISS CRYSTAL MARIE AMMERMAN.
| 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.