MARY KATHLEEN BETZ (NPI# 1922161322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922161322 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN BETZ |
| Other Name | MARY KAY BETZ |
| Credential | P.A. |
| Practice Address |
Landmark Health 701 Seneca St Suite 646 Buffalo NY 14210 |
| Practice Telephone | 7169954450 |
| Mailing Telephone | 7169954450 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007053 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00026554701 | 01 |
| NY | INDEPENDENT HEALTH | 9512248 | 01 |
| NY | BLUE CROSS & BLUE SHIELD | 000570245004 | 01 |
| NY | BLUE CROSS & BLUE SHIELD | 000570245003 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3980 Sheridan Dr, Suite 200, Amherst, NY 142261727 | 7162502000 | 7166361365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851929947 | Mary Emma Betz | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3396 | 2020-04-01 |
| Street Address |
LANDMARK HEALTH 701 SENECA ST SUITE 646 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764461 | Elijah J Ventura | Emergency Medical Technician, Basic | 71 Sage Ave, Upper, Buffalo, NY 14210 | 2017-07-31 |
| 1235401308 | Carolyn Krajewski | Licensed Practical Nurse | 49 Duerstein St., Buffalo, NY 14210 | 2012-02-03 |
| 1578884474 | Amanda Lee Holman | Physical Therapist | 51 St John's Parkside, Buffalo, NY 14210 | 2010-06-15 |
| 1205082906 | Elizabeth Stom | Physical Therapist | 51 St, John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2008-08-13 |
| 1215106919 | Colette E Kurzius | Speech-Language Pathologist | 51 St John Parkside, Buffalo, NY 14210 | 2008-02-27 |
| 1043497936 | Karen Marlene Hazel | Speech-Language Pathologist | 51 St. John's Parkside, Buffalo, NY 14210 | 2008-01-23 |
| 1184638538 | Keith Lewin Hosmer | Chiropractor | 154 Cazenovia Street, Buffalo, NY 14210 | 2006-07-28 |
| 1811925944 | Marcia Langa | Registered Nurse | 2040 Seneca Street, Buffalo, NY 14210 | 2006-06-29 |
| 1316443096 | Connect Medical, P.C. | General Practice | 701 Seneca St Ste 646c, Buffalo, NY 14210 | 2018-04-02 |
| 1093142838 | Margaret Mary Buckley | Psychologist | 51 St. John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2013-10-10 |
| Find all providers in zip 14210 | ||||
| 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 |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| 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.