Jennifer Lynn Noble, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

011711 Issued in NY

Practice address

Elm and Carlton St
Buffalo, NY 14263-0001

Phone

(716) 845-1300

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer Lynn Odell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buffalo Thoracic Surgical Associates PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Buffalo, NY
  • NPI 1659414605
  NPD (past)
• Starr-Wood Cardiac Group of Portland PC

  • Specialist
  • Portland, OR
  • NPI 1386730026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1033167127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 COVENTRY RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171136",
            "telephone_number": "716-908-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ODELL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terence Andre Nix
• Cathy Nixon
• Eleanor Bridget Nixon, FNP
• Jessica Megan Nixon, FNP
• Rose Nkundimfura, B.S.
• Liza Noble
• Amanda Nobrega
• Anthony Nocera
• Joey Nocera, RN
• Jennifer Noe, LCSW

• Surgical Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.