MARIELLE REBECCA WIEDE (NPI# 1811454960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811454960 |
| Entity Type | Individual |
| Full Name | MARIELLE REBECCA WIEDE |
| Credential | PA |
| Practice Address |
2350 Maple Rd Ste 100 Amherst NY 14221-4080 |
| Mailing Address |
4770 E Becker Rd Collins NY 14034-9761 |
| Practice Telephone | 7166886500 |
| Mailing Telephone | 7165608831 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023336 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2350 MAPLE RD STE 100 |
| City | AMHERST |
| State | NY |
| Zip Code | 14221-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073562716 | John Fudyma | Internal Medicine | 2350 Maple Rd Ste 100, Amherst, NY 14221-4080 | 2006-05-09 |
| 1184936833 | Samantha Anne Olewnik | Physician Assistant | 2350 Maple Rd Ste 100, Amherst, NY 14221-4080 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926808 | Tiffany Teresa Kalisz | Physician Assistant | 78 Lawnwood Dr, Amherst, NY 14228-1603 | 2020-09-09 |
| 1528611852 | India Younger | Physician Assistant | 4498 Main St Ste 23, Amherst, NY 14226-3826 | 2019-07-16 |
| 1104355973 | Kelly Kaczor | Physician Assistant | 4955 N Bailey Ave Ste 202, Amherst, NY 14226-1206 | 2017-06-06 |
| 1013337807 | Sara Fritsch | Physician Assistant | 3915 Sheridan Dr, Amherst, NY 14226 | 2014-04-21 |
| 1770686859 | Michael N. Brown | Physician Assistant | 29 Cottage St Ste B, Amherst, MA 01002-2178 | 2006-09-06 |
| 1801895271 | Linda S Tosetto | Physician Assistant | 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226-1727 | 2005-07-19 |
| 1407852973 | Allyson Laetita Kirk | Physician Assistant | 500 Corporate Pkwy, Suite 100, Amherst, NY 14226-1263 | 2005-06-21 |
| 1447875869 | Jenna Marie Toy | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-06-11 |
| 1700409893 | Casey Anne Mckittrick | Physician Assistant | 170 University Dr, Amherst, MA 01002-2247 | 2020-05-22 |
| 1467093658 | Matthew Krempholtz | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-09-30 |
| Find all providers in AMHERST | ||||
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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.