FREDERICK J PIWKO (NPI# 1639196421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639196421 |
| Entity Type | Individual |
| Full Name | FREDERICK J PIWKO |
| Credential | MD |
| Practice Address |
3805 Lockport Olcott Rd Lockport NY 14094-1128 |
| Practice Telephone | 7164394248 |
| Practice Fax Number | 7164394838 |
| Mailing Telephone | 7164394248 |
| Mailing Fax Number | 7164394838 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 213857 1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNWIRA | 00020529401 | 01 | |
| NY | INDEPENDENT HEALTH | 0110742 | 01 |
| GHI | 5999046 | 01 | |
| NY | 01956481 | 05 | |
| NY | BC/BS OF WESTERN NEW YROK | 000525755001 | 01 |
| NY | PALMETTO GBA MEDICARE RAILROAD | 080145749 | 01 |
| Street Address |
3805 LOCKPORT OLCOTT RD |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916328 | Richelle Lee Brown | Physician Assistant | 3805 Lockport Olcott Rd, Lockport, NY 14094-1128 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| 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 |
|---|---|---|---|---|
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| 1528104007 | Charles Olick | Family Medicine | 5258 Mapleton Rd, Lockport, NY 14094-9293 | 2007-01-30 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1609959543 | Eastview Family Practice PC | Family Medicine | 294 East Avenue, Lockport, NY 14094 | 2006-10-23 |
| 1982628574 | Nicholas Varallo | Family Medicine | 670 Davison Road, Lockport, NY 14094-5338 | 2006-07-27 |
| 1861439879 | Patricia J Danaher | Family Medicine | 5949 Campbell Blvd, Lockport, NY 14094-9204 | 2006-05-31 |
| 1669427589 | Rajeswara Nagalla | Family Medicine | 131 East Ave, Lockport, NY 14094-3838 | 2006-05-23 |
| 1194776377 | Mirza Khalid M Baig | Family Medicine | 1206 E 9th St Ste 320, Lockport, IL 60441-2404 | 2006-05-13 |
| 1457315707 | Fiona C Halliday | Family Medicine | 5879 Snyder Dr, Lockport, NY 14094-9497 | 2006-04-13 |
| 1154381317 | Thomas Hughes | Family Medicine | 64 Davison Ct, Lockport, NY 14094-5370 | 2006-03-23 |
| Find all providers in LOCKPORT | ||||
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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.