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DR. THERESA MARIE WEGMAN MD
NPI 1437117553
Pediatrics - Adolescent Medicine in Orchard Park, NY

Active since May 01, 2006CLIA 33D0889143 · Waiver
24 CARROW ST, ORCHARD PARK, NY 14127(716) 662-3443(716) 972-0374 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa Marie Wegman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA MARIE WEGMAN MD (NPI 1437117553) is an individual adolescent medicine provider in Orchard Park, New York, licensed in New York (204233) and active in the NPI registry since May 2006. She holds a CLIA Waiver certificate valid through November 23, 2027.

NPPES Registry Identity

NPI1437117553
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. THERESA MARIE WEGMANCredential: MD
Location Address24 CARROW STOrchard Park, NY 14127-2604
Mailing Address24 Carrow StOrchard Park, NY 14127-2604 · (716) 662-3443 · Fax (716) 972-0374
Phone(716) 662-3443
Fax(716) 972-0374
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 26, 2008
✔ NPI 1437117553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 204233
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
24 CARROW ST, Orchard Park, NY 14127
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Other Identifiers 4

Medicaid01924689NY
Other1210624NY · Independent Health Association
Other00020530902NY · Univera Healthcare)
Other000525566002NY · Blue Cros/blue Sheild (health Now)

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0889143

Theresa Wegman MD Dba Carrow Street Pediatrics · Orchard Park, NY
Active · expires Nov 23, 2027
CLIA Number33D0889143
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorDr. Theresa M. Wegman
Laboratory Phone(716) 662-3443
Laboratory LocationTheresa Wegman MD Dba Carrow Street Pediatrics24 Carrow Street, Orchard Park, NY 14127
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUZANNE LIGNOS FNP
Family Medicine
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
MRS. BETH MARA WEISS PNP
Nurse Practitioner (Pediatrics)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
DR. STEVEN DANIEL WEISS MD
Pediatrics (Adolescent Medicine)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
DR. TARA LYN REIMER MD
Pediatrics (Adolescent Medicine)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
MRS. CHRISTIE LEIGH KOEDEL CPNP
Nurse Practitioner (Pediatrics)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
MATTHEW GUERINOT DO
Pediatrics (Adolescent Medicine)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
MRS. TONYA LEA GRUTTARIA PNP
Nurse Practitioner (Pediatrics)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443
CARROW STREET PEDIATRICS, PLLC
Pediatrics (Adolescent Medicine)
24 CARROW ST
ORCHARD PARK, NY 14127
Erie County (716) 662-3443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Wegman's NPI number?

The NPI number for Theresa Wegman is 1437117553. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Theresa Wegman located?

Theresa Wegman practices at 24 Carrow St, Orchard Park, NY 14127. The listed phone number is (716) 662-3443.

What is Theresa Wegman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Theresa Wegman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0889143) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Theresa Wegman was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.