MICHAEL A PELL (NPI# 1710987128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710987128 |
| Entity Type | Individual |
| Full Name | MICHAEL A PELL |
| Credential | MD |
| Practice Address |
550 Orchard Park Rd A103 West Seneca NY 14224-2646 |
| Practice Telephone | 7166775500 |
| Practice Fax Number | 7166775008 |
| Mailing Telephone | 7166775500 |
| Mailing Fax Number | 7166775008 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
198878 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01651981 | 05 | |
| NY | INDEPENDENT HEALTH | 1708440 | 01 |
| NY | UNIVERA | 00010197101 | 01 |
| NY | AETNA | 3174894 | 01 |
| NY | WORKERS COMPENSATION | S1988781 | 01 |
| Street Address |
550 ORCHARD PARK RD A103 |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169875 | Timothy R Rasmusson | Surgery | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2005-07-28 |
| 1497259584 | Kara Jean Colburn | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-03-22 |
| 1700388394 | Richard Duderwick | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-02-28 |
| 1396252029 | Kayla Susan Limardi | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-01-03 |
| 1023529849 | Rachel M Kistner | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2017-10-19 |
| 1588108765 | Courtney Moran | Nurse Practitioner | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2016-12-07 |
| 1346797354 | Dr.mark S. St.marie Physician Pllc | Preferred Provider Organization | 550 Orchard Park Rd, Building A Suite 104, West Seneca, NY 14224-2646 | 2016-09-07 |
| 1437531696 | Anne Marie Nikirk | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2015-06-24 |
| 1174934319 | Kara Trippi | Speech-Language Pathologist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-05-09 |
| 1790107399 | Ronald Schenk | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on MICHAEL A PELL.
| 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.