Individual provider Active NPI

Kathryn Wirth, PA

  • Surgical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1124420369
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0178761 Issued in NY
Practice address
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone
(716) 995-4450
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0178761 NY Primary

Addresses

Primary practice location

701 Seneca St Ste 646C
Buffalo, NY 14210-1351

Mailing address

3332 Walden Ave
Ste 110
Depew, NY 14043-2400
Phone (716) 668-7051

Other practice location 1

85 High St
Buffalo, NY 14203-1149
Phone (716) 630-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107001439 NY Practitioner - Physician Assistant 6002038965 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

2625 Delaware Ave
Suite 124
Buffalo, NY 14216-1705
Phone (716) 447-6450

4949 Harlem Rd
Amherst, NY 14226-2500
Phone (716) 601-3690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017876NYMDPhysical Therapist
0178761NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Mar 9, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 9, 2025 Accepting new patients
Family Choice of New York Medical PC CurrentSince Nov 17, 2019 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince May 10, 2025 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Trinity Medical Wny PC Surgical CurrentSince Mar 9, 2025 Accepting new patients
New York Anesthesiology Medical Specialties, PC Past Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501

2121 Main St
Ste 316
Buffalo, NY 14214
Phone 7168372400116

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3332 Walden Ave
Ste 110
Depew, NY 14043
Phone (716) 668-7051

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1124420369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 WALDEN AVE",
            "address_2": "STE 110",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432400",
            "telephone_number": "716-668-7051",
            "fax_number": "716-668-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031149",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-680-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "0178761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.