Active NPI
Kathryn Wirth, PA
- Surgical Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0178761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017876 | NY | MD | Physical Therapist |
| 0178761 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Family Choice of New York Medical PC | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Surgical | Current | 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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Physical Medicine & Rehabilitation Physician
- Portland, ME
- NPI 1629430087
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- General Practice Physician
- Depew, NY
- NPI 1720312754
-
- Rehabilitation Hospital Unit
- Buffalo, NY
- NPI 1659310605
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1023497203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.