Active NPI
Alexis Stachowski, CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 602988
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 836-7510
- NPI assigned
- May 28, 2015
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 602988 | NY | Primary |
| Registered Nurse | 163W00000X | RN.0204951 | CO |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
3871 Harlem Rd Ste 202
Buffalo, NY 14215-1946
Phone (716) 836-7510
Other practice location 1
2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 836-7510 ext. 106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0204951 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northtowns Ambulatory Surgery Center, LLC | Current | Accepting new patients | |
| Buffalo Surgery Center LLC | Current | Accepting new patients | |
| Parkside Medical Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
3871 Harlem Rd
Ste 202
Buffalo, NY 14215
3921 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6520
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
111 N Maplemere Rd
Williamsville, NY 14221
Phone (716) 636-8284
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Amherst, NY
- NPI 1508863242
-
- Ambulatory Surgical Clinic/Center
- Williamsville, NY
- NPI 1073384855
-
- Anesthesiology Physician
- Buffalo, NY
- NPI 1871537464
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1033598677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 HARLEM RD STE 202",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151946",
"telephone_number": "716-836-7510",
"fax_number": "716-832-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-836-7510"
}
],
"practiceLocations": [
{
"address_1": "2605 Harlem Rd",
"address_purpose": "LOCATION",
"city": "Cheektowaga",
"state": "NY",
"postal_code": "142254018",
"country_code": "US",
"telephone_number": "716-836-7510 x106",
"fax_number": "716-832-3540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACHOWSKI",
"first_name": "ALEXIS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "602988",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0204951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.