MARY GWYNNE TILLOTSON (NPI# 1780284869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780284869 |
Entity Type | Individual |
Full Name | MARY GWYNNE TILLOTSON |
Other Name | MARY COHILL |
Credential | PMHNP |
Practice Address |
82 Oxford Ave Buffalo NY 14209-1406 |
Practice Telephone | 7169069770 |
Mailing Telephone | 7169069770 |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403249 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
82 OXFORD AVE |
City | BUFFALO |
State | NY |
Zip Code | 14209-1406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
Find all providers in zip 14209 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
1578176160 | Rachelle Camelle De La Cruz | Nurse Practitioner | 255 Delaware Ave Ste 400, Buffalo, NY 14202-2016 | 2020-08-25 |
1265054894 | James E Koch | Nurse Practitioner | 701 Seneca St Ste 416, Buffalo, NY 14210-1351 | 2020-05-18 |
1881078004 | Pamela Anne Almeter | Nurse Practitioner | 462 Grider St Rm 1168, Buffalo, NY 14215-3021 | 2015-07-17 |
1326421702 | Shirley Frieh | Nurse Practitioner | University At Buffalo Counseling Services, 120 Richmond Quad, Buffalo, NY 14261-0001 | 2015-07-03 |
1407146558 | Natasha C Pearson | Nurse Practitioner | 325 Cornwall Ave, Buffalo, NY 14215-3101 | 2011-04-11 |
1831419001 | Suzanne Marie Miller | Nurse Practitioner | 652 Delaware Ave, Suite 204, Buffalo, NY 14202 | 2010-06-10 |
1073163531 | Ehs, Inc. | Nurse Practitioner | 206 S Elmwood Ave, Buffalo, NY 14201-2398 | 2019-09-17 |
1013569979 | Alyssa Christine Weissinger | Nurse Practitioner | 1050 Niagara St, Buffalo, NY 14213-2001 | 2019-07-11 |
1356815468 | Hallie Guenther | Nurse Practitioner | 625 Delaware Ave Ste 204, Buffalo, NY 14202-1007 | 2019-01-11 |
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.