MAPLE MEDICAL SERVICES, P.C. (NPI# 1871589861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871589861 |
| Entity Type | Organization |
| Organization Name | MAPLE MEDICAL SERVICES, P.C. |
| Other Organization Name | THEODORE G. COSTICH, MD |
| Practice Address |
41 Maple Rd Williamsville NY 14221-2918 |
| Practice Telephone | 7166311045 |
| Practice Fax Number | 7166311365 |
| Mailing Telephone | 7166311045 |
| Mailing Fax Number | 7166311365 |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THEODORE GERARD COSTICH (OWNER) |
| Authorized Official Telephone | 7166311045 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | 187420 | NY | Allopathic & Osteopathic Physicians |
| X | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
187420 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01406720 | 05 | |
| NY | IHA PROVIDER # | 0709667 | 01 |
| NY | UNIVERA ID # | 00020006503 | 01 |
| Other Name | Type Code |
|---|---|
| Theodore G. Costich, MD | Former Legal Business Name - Organization |
| Street Address |
41 MAPLE RD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245331818 | Theodore Gerard Costich | Obstetrics & Gynecology | 41 Maple Rd, Williamsville, NY 14221-2918 | 2006-09-26 |
| 1841393055 | Stacie L Wier | Nurse Practitioner | 41 Maple Rd, Maple Medical Services, P.C., Williamsville, NY 14221-2918 | 2006-09-06 |
| 1326090572 | Margaret Lee Weed | Nurse Practitioner | 41 Maple Rd, Williamsville, NY 14221-2918 | 2006-05-16 |
| 1710973672 | Rebecca L Stock | Nurse Practitioner | 41 Maple Rd, Williamsville, NY 14221-2918 | 2005-09-26 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205240595 | Natalie Hage | Obstetrics & Gynecology | 30 N Union Rd Ste 101, Williamsville, NY 14221-5367 | 2014-06-16 |
| 1144456880 | Henry Edward Dela Cruz Reyes | Obstetrics & Gynecology | 45 Spindrift Dr Ste 100, Williamsville, NY 14221-7889 | 2009-06-09 |
| 1881858702 | Christian Paul Chouchani | Obstetrics & Gynecology | 30 North Union Rd Suite 101, Williamsville, NY 14221 | 2008-07-10 |
| 1043361256 | Maria A Corigliano | Obstetrics & Gynecology | 2240 North Forest Rd., Williamsville, NY 14221 | 2007-01-15 |
| 1528149978 | Diane H Morrison Md | Obstetrics & Gynecology | 37 Maple Road, Williamsville, NY 14221 | 2006-10-18 |
| 1437249695 | Maureen A Dangelo | Obstetrics & Gynecology | 8604 Main Street, Suite 4, Williamsville, NY 14221 | 2006-10-16 |
| 1821104498 | Polyxeni Mouhtouri Dimopoulos | Obstetrics & Gynecology | 2240 North Forest Road, Williamsville, NY 14221 | 2006-08-23 |
| 1245276203 | Margarita K. Giotis | Obstetrics & Gynecology | 19 Limestone Drive, Unit 7, Williamsville, NY 14221 | 2006-06-20 |
| 1184686297 | James Douglas Pilc | Obstetrics & Gynecology | 8604 Main St, Ste 4, Williamsville, NY 14221 | 2006-04-04 |
| 1821585274 | Kathryn Carey Mye | Obstetrics & Gynecology | 30 N Union Rd Ste 101, Williamsville, NY 14221-5367 | 2018-04-20 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.