PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK (NPI# 1922300516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922300516 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK |
| Other Organization Name | PEDS URGENT CARE |
| Practice Address |
1800 Maple Rd Suite 100 Williamsville NY 14221-2749 |
| Practice Telephone | 7166365437 |
| Practice Fax Number | 7166365439 |
| Mailing Telephone | 7166365437 |
| Mailing Fax Number | 7166365439 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DR. KATHLEEN ANNE LILLIS (PRESIDENT) |
| Authorized Official Telephone | 7166365437 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
176526 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01302767 | 05 |
| Other Name | Type Code |
|---|---|
| Peds Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710297171 | Pediatric and Adolescent Urgent Care of Western New York | Pediatrics | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2010-10-19 |
| Street Address |
1800 MAPLE RD SUITE 100 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015107 | Abigail Marie Foederer | Nurse Practitioner | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2020-08-27 |
| 1083145437 | Susan Wopperer | Nurse Practitioner | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2017-03-27 |
| 1821536244 | Pediatric & Adolescent Urgent Care | Clinic/Center | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2017-02-06 |
| 1134514243 | David Carl Mccloe | Dentist | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2015-04-06 |
| 1669887121 | Pediatric and Adolescent Urgent Care of The Southtowns, Pllc | Clinic/Center | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2014-06-24 |
| 1710297171 | Pediatric and Adolescent Urgent Care of Western New York | Pediatrics | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2010-10-19 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316014491 | Western New York Immediate Medical Care LLC | Clinic/Center | 7616 Transit Road, Williamsville, NY 14221 | 2006-11-30 |
| 1821536244 | Pediatric & Adolescent Urgent Care | Clinic/Center | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2017-02-06 |
| 1669887121 | Pediatric and Adolescent Urgent Care of The Southtowns, Pllc | Clinic/Center | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK.
| 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.