HIGHGATE MEDICAL GROUP, PC NPI 1326158593

Family Medicine in Williamsville, NY

NPI 1326158593 Organization Family Medicine CLIA Number 33D0714617 CLIA Certificate of Waiver

About HIGHGATE MEDICAL GROUP, PC

Highgate Medical Group, Pc is a primary care provider established in Williamsville, New York specializing in family medicine. The NPI number of Highgate Medical Group, Pc is 1326158593 and was assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 131001 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. Highgate Medical Group, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John J Bodkin Ii M.d. (President)

A primary care provider (PCP) like Highgate Medical Group, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Highgate Medical Group, Pc is 33D0714617 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Highgate Medical Group, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1326158593

Provider NameHIGHGATE MEDICAL GROUP, PC
Provider Location Address1150 YOUNGS RD SUITE 104 WILLIAMSVILLE, NY 14221
Provider Mailing Address1150 YOUNGS RD SUITE 104 WILLIAMSVILLE, NY 14221
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-30-2006
Last Update Date01-12-2010


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.131001
License StateNY
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

HIGHGATE MEDICAL GROUP, PC
1150 YOUNGS RD
SUITE 104
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 636-7979
Fax: (716) 636-7993

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Mailing Address

HIGHGATE MEDICAL GROUP, PC
1150 YOUNGS RD
SUITE 104
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 636-7979
Fax: (716) 636-7993



Authorized Official

Authorized Official NameDR. JOHN J BODKIN II M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(716) 636-7979

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1326158593 is:

CLIA Number33D0714617
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A30001607MEDICARE OSCAR/CERTIFICATION (06)NY
01483930MEDICAID (05)NY
A30001607OTHER (01)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376542753DR. VINOD NIGAM MD
Individual
Radiology (Diagnostic Radiology)1150 YOUNGS RD SUITE 111
WILLIAMSVILLE, NY 14221
(716) 688-7622
1295723278DR. PAUL A WEISS DDS
Individual
Dentist (Pediatric Dentistry)1150 YOUNGS RD SUITE 106
WILLIAMSVILLE, NY 14221
(716) 689-0929
1285617431 EVAN EVANS MD
Individual
Specialist1150 YOUNGS RD
WILLIAMSVILLE, NY 14221
(716) 636-9004
1528041480DR. JOHN E PRZYLUCKI MD
Individual
Specialist1150 YOUNGS RD
BUFFALO, NY 14221
(716) 636-9004
1386615300 RICHARD STINZIANO PT
Individual
Physical Therapist1150 YOUNGS RD
WILLIAMSVILLE, NY 14221
(716) 689-1901
1821059163MRS. SHARON ROSE TASNER FNP
Individual
Nurse Practitioner1150 YOUNGS RD SUITE #104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1386608339DR. NITA K DIVAN MD
Individual
Family Medicine1150 YOUNGS RD SUITE 203
WILLIAMSVILLE, NY 14221
(716) 688-7344
1639134885DR. DANIEL TROCK M.D.
Individual
Family Medicine1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1093770927DR. THOMAS B BOGNER M.D.
Individual
Family Medicine1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1033174958DR. DAVID ANTHONY PAWLOWSKI MD
Individual
Family Medicine1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1609831536DR. JOHN J BODKIN II M.D.
Individual
Family Medicine1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1538126388MRS. CARA MARIE INNUS RPA-C
Individual
Physician Assistant1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1457318354DR. LORI LUZI M.D.
Individual
Family Medicine1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1598722365MRS. KIMBERLY MACDONALD F.N.P.
Individual
Nurse Practitioner (Family)1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221
(716) 636-7979
1306872239 BRENDA HAMILTON
Individual
Physical Therapist1150 YOUNGS RD SUITE 109
WILLIAMSVILLE, NY 14221
(716) 636-9107
1861428823 ROSE FRISICARO
Individual
Specialist1150 YOUNGS RD SUITE 109
WILLIAMSVILLE, NY 14221
(716) 696-9107
1437180890 LAURIE M SILBIGER
Individual
Physical Therapist1150 YOUNGS RD SUITE 109
WILLIAMSVILLE, NY 14221
(716) 636-9107
1104934512 JOHN D EVANS
Individual
Physical Therapist1150 YOUNGS RD SUITE 109
WILLIAMSVILLE, NY 14221
(716) 636-9107
1932201829ILJA J WEINRIEB MD PC
Organization
Internal Medicine (Gastroenterology)1150 YOUNGS RD SUITE 205
WILLIAMSVILLE, NY 14221
(716) 636-9056
1457441685DJAVAD T ARANI MD PC
Organization
Internal Medicine (Cardiovascular Disease)1150 YOUNGS RD SUITE 101
WILLIAMSVILLE, NY 14221
(716) 636-0189

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.