Individual provider Active NPI

Erin Christine Wiza, P.A.

  • Surgical Physician Assistant
  • Williamsville, NY
National Provider Identifier
1174886725
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
015532-1 Issued in NY
Practice address
15 S Forest Rd
Williamsville, NY 14221-6425
Phone
(716) 626-1824
Fax
(716) 626-1827
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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 015532-1 NY Primary

Addresses

Primary practice location

15 S Forest Rd
Williamsville, NY 14221-6425

Mailing address

15 S Forest Rd
Williamsville, NY 14221-6425
Phone (716) 626-1824

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
I20120827000884 NY Practitioner - Physician Assistant 0143477174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank J Schlehr M D P CGroup PAC ID 0941243976, 3 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

15 S Forest Rd
Williamsville, NY 14221-6444
Phone (716) 626-1824

192 Park Club LN
Suite 100
Williamsville, NY 14221-5270
Phone (716) 204-1101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015532NYMDPsychologist
015532-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Jan 5, 2026 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 5, 2026 Accepting new patients
Trinity Medical Wny PC Past Accepting new patients
Mount St. Mary's Hospital of Niagara Falls Past Accepting new patients

Locations

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

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

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

192 Park Club Ln
Williamsville, NY 14221
Phone (716) 422-0010

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Interoperability endpoints

  • Direct secure messaging: ewiza@bonesmd.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1174886725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-626-1824",
            "fax_number": "716-626-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-626-1824",
            "fax_number": "716-626-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZA",
        "first_name": "ERIN",
        "middle_name": "CHRISTINE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "015532-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.