DR. BRENDAN RALEIGH (NPI# 1548674609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548674609 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN RALEIGH |
| Credential | M.D. |
| Practice Address |
77 Goodell St Suites 220 and 240 Buffalo NY 14203 |
| Mailing Address |
184 Barton St Buffalo NY 14213-1573 |
| Practice Telephone | 7168167228 |
| Mailing Telephone | 7168816191 |
| Mailing Fax Number | 7168816247 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 287526 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04879503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Goodell St, Suites 220 and 240, Buffalo, NY 142031243 | 7168167228 | |
| 184 Barton St, Buffalo, NY 142131573 | 7168816191 | 7168816247 |
| 2400 Pine Ave, Niagara Falls, NY 143012402 | 7165051060 |
| Street Address |
77 GOODELL ST SUITES 220 AND 240 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891733614 | Scott Stewart | Internal Medicine | 77 Goodell St, Buffalo, NY 14203-1243 | 2006-06-03 |
| 1093325730 | Sharysse Christina Kayoumedjian | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-08-07 |
| 1265055248 | Steven Foulis | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-05-25 |
| 1871115246 | Charles Wilber | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-05-08 |
| 1215557426 | Margaret Mahaffa | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-04-17 |
| 1720607211 | Ashley Deluca | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-04-14 |
| 1669091435 | Jake William Carter | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-04-13 |
| 1679102412 | Megan Guntrum | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2020-04-03 |
| 1235627472 | Tariq Jamal Ahmed | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2018-04-24 |
| 1821595877 | Diva Viteare Bomgaars | Student in an Organized Health Care Education/Training Program | 77 Goodell St, Buffalo, NY 14203-1243 | 2018-04-06 |
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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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002008 | Jenii Tia Statt | Family Medicine | 369 Washington St Apt 206, Buffalo, NY 14203-2116 | 2020-08-03 |
| 1023630738 | Alysia Mota Smith | Family Medicine | 610 N Hoy St, Buffalo, OK 73834-8933 | 2020-05-15 |
| 1568932945 | Team Excellence Health | Family Medicine | 1502 Niagara St Apt 604, Buffalo, NY 14213-1182 | 2018-11-28 |
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| 1003222092 | Robinder Bahniwal | Family Medicine | 34 Benwood Avenue, Buffalo, NY 14215 | 2014-07-10 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1457686347 | Michael T. Doldan | Family Medicine | 2497 Delaware Ave, Buffalo, NY 14216-1712 | 2009-10-09 |
| 1740330851 | Buffalo Niagara Medical Associates | Family Medicine | 941 Washington St, Buffalo, NY 14203-1116 | 2007-01-11 |
| 1699799155 | Donald L Head | Family Medicine | 249 Craig St, Buffalo, TX 75831-7707 | 2006-07-27 |
| 1023031200 | Kirk A Scirto | Family Medicine | 184 Barton St, Buffalo, NY 14213-1573 | 2006-07-26 |
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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.