DR. MAXWELL HENRICKS (NPI# 1578927547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578927547 |
| Entity Type | Individual |
| Full Name | DR. MAXWELL HENRICKS |
| Credential | MD |
| Practice Address |
1001 Main St Fl 4 Buffalo NY 14203-1009 |
| Mailing Address |
139 Bryant St Uppr Buffalo NY 14222-2002 |
| Practice Telephone | 7152160408 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 30688401 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1001 MAIN ST FL 4 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714968 | Tova Ablove | Obstetrics & Gynecology | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2006-03-22 |
| 1427679752 | Samantha Jo Paolini | Nutritionist | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2020-04-28 |
| 1730709841 | Aya Ouf | Student in an Organized Health Care Education/Training Program | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2020-04-17 |
| 1871130138 | Nicole Shea | Psychologist | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2019-12-05 |
| 1831531995 | Aniqa A Kohen | Internal Medicine | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2013-07-17 |
| 1053759209 | Xiaoyan Wu | Pediatrics | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2013-06-10 |
| 1912343922 | Diana Leigh Marchese | Physical Medicine & Rehabilitation | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2013-05-16 |
| 1801151907 | Sultan Mahmood | Internal Medicine | 1001 Main St Fl 4, Buffalo, NY 14203 | 2012-07-05 |
| 1255618906 | Geovanny Francisco Perez Estrella | Pediatrics | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2011-11-09 |
| 1801020581 | Michael Scott Adragna | Psychiatry & Neurology | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2009-05-08 |
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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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174977250 | Stephanie Santoro | Obstetrics & Gynecology | 155 Lawn Ave Rm 310, Buffalo, NY 14207-1816 | 2016-04-14 |
| 1902286230 | Ngoc Yen Pham | Obstetrics & Gynecology | 515 Abbott Rd Ste 302, Buffalo, NY 14220 | 2015-06-02 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1013259514 | Elspeth Spaulding Call Lukasik | Obstetrics & Gynecology | 897 Delaware Ave Ste 301, Buffalo, NY 14209-2087 | 2013-03-22 |
| 1770808933 | Anthony Muney | Obstetrics & Gynecology | 506 Delaware Ave Apt 1e, Buffalo, NY 14202-1304 | 2010-03-31 |
| 1821225160 | Robert Morris Wagner | Obstetrics & Gynecology | 1004 Erie Dr, Buffalo, WY 82834-2587 | 2009-06-13 |
| 1497923833 | Thecla S Tamulski | Obstetrics & Gynecology | V A Medical Legal Affairs, 3495 Bailey Avenue, Buffalo, NY 14215 | 2008-02-20 |
| 1326267741 | Steven Jay Abbey | Obstetrics & Gynecology | 9 Ashby Ct, Buffalo, NY 14221-2865 | 2007-04-24 |
| 1538215371 | Krystene Boyle Dipaola | Obstetrics & Gynecology | 1408 Sweet Home Rd # 9-10, Buffalo, NY 14228-2783 | 2007-01-26 |
| 1093800476 | Michele Frech | Obstetrics & Gynecology | 155 Lawn Avenue, Buffalo, NY 14207 | 2006-10-03 |
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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.