COLLEEN MARY WIRTH PHYSICIAN ASSISTANT
NPI 1558946491
Physician Assistant - Medical in Williamsville, NY

Q: What is Colleen Wirth's NPI number?

The NPI number for Colleen Wirth is 1558946491. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Q: What is Colleen Wirth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Wirth was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 12, 2021

425 ESSJAY RD STE 180, WILLIAMSVILLE, NY 14221(716) 630-1140 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2021, Mar 17, 2021, Mar 12, 2021 (3 updates tracked since 2021).

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About Colleen Mary Wirth Physician Assistant NPPES

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

COLLEEN MARY WIRTH PHYSICIAN ASSISTANT (NPI 1558946491) is an individual medical provider in Williamsville, New York and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1558946491

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCOLLEEN MARY WIRTHCredential: PHYSICIAN ASSISTANT

Location Address425 ESSJAY RD STE 180Williamsville, NY 14221-5782

Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219

Phone(716) 630-1140

Sole ProprietorNo

Enumeration DateMarch 12, 2021

Last NPPES UpdateMay 11, 20213 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1558946491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X

425 ESSJAY RD STE 180, Williamsville, NY 14221

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Other Providers at the Same Location NPPES 3

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

DR. PAUL B WIRTH MD

Dermatology (MOHS-Micrographic Surgery)

425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221

Erie County (716) 630-1140

TESS LUZI

Physician Assistant

425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221

Erie County (716) 630-1140

MR. CONOR GALLIVAN PA

Physician Assistant

425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221

Erie County (716) 630-1140

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 Colleen Wirth's NPI number?

The NPI number for Colleen Wirth is 1558946491. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Colleen Wirth located?

Colleen Wirth practices at 425 Essjay Rd Ste 180, Williamsville, NY 14221. The listed phone number is (716) 630-1140.

What is Colleen Wirth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Colleen Wirth was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.