ELIZABETH MARIE MODEN (NPI# 1669018065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669018065 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARIE MODEN |
| Credential | DC |
| Practice Address |
3685 Harlem Rd Ste 3 Buffalo NY 14215-2046 |
| Mailing Address |
4561 Lewis Dr Hamburg NY 14075-5428 |
| Practice Telephone | 7168633133 |
| Mailing Telephone | 7168633133 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 013302 | NY | Chiropractic Providers |
| Street Address |
3685 HARLEM RD STE 3 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071997 | Ralph Cafiero | Chiropractor | 1275 Main St # 110, Buffalo, NY 14209-1911 | 2019-12-28 |
| 1457820110 | Nicholas R Jones | Chiropractor | 149 Virgil Ave Uppr, Buffalo, NY 14216-1805 | 2018-11-24 |
| 1134698350 | Kyle Fancher | Chiropractor | 1829 Maple Rd Ste 110, Buffalo, NY 14221-2700 | 2018-11-16 |
| 1326514712 | Sarah Soper | Chiropractor | 412 Schiller St, Buffalo, NY 14212-2139 | 2018-10-23 |
| 1710465943 | Andrew Zimmer | Chiropractor | 135 Delaware Ave Frnt 103, Buffalo, NY 14202-2410 | 2018-07-31 |
| 1568952885 | Mark Anthony Matesich | Chiropractor | 496 Pearl St, Buffalo, NY 14202-1904 | 2018-05-11 |
| 1497244461 | Rafael Ernesto Roman Perez | Chiropractor | 564 Niagara St Bldg 2, Buffalo, NY 14201-1108 | 2018-05-06 |
| 1790223832 | Joshua Nelson | Chiropractor | 1201 Colvin Blvd # A, Buffalo, NY 14223-1936 | 2017-02-09 |
| 1972964674 | Brenda Covell | Chiropractor | 500 Seneca St, Suite 130, Buffalo, NY 14204-1963 | 2016-03-09 |
| 1487014502 | Lindsay Marie Engl | Chiropractor | 2526 Delaware Ave, Suite 102, Buffalo, NY 14216-1702 | 2016-03-02 |
| Find all providers in BUFFALO | ||||
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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.