Mivas, P.C.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

MIVAS, P.C.

Practice address

4927 Main Street
Suite 400
Amherst, NY 14226-4081

Phone

(716) 877-7000

Fax

(716) 322-1164

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Vasquez, M.D.NPI 1841231511

Title

Owner

Phone

(716) 877-7000

Specialties & licenses 1

Addresses

Other names 1

• Minimally Invasive Vascular and Aesthetic Services , P.C. Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Anthony Vasquez, MD

  • Vascular Surgery Physician
  • Amherst, NY
  • NPI 1841231511
  NPD Authorized official
• Glenn Robert Buczkowski, PA-C

  • Surgical Physician Assistant
  • Amherst, NY
  • NPI 1639107196
  NPD
• Danielle N Panza, PA-C

  • Medical Physician Assistant
  • Amherst, NY
  • NPI 1548532849
  NPD
• Jordan Kail Lasky, PA

  • Physician Assistant
  • Lockport, NY
  • NPI 1780932822
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1265143630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 MAIN STREET",
            "address_2": "SUITE 400",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264081",
            "telephone_number": "716-877-7000",
            "fax_number": "716-322-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 MAIN STREET",
            "address_2": "SUITE 400",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264081",
            "telephone_number": "716-877-7000",
            "fax_number": "716-322-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVAS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-877-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally Invasive Vascular and Aesthetic Services , P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Marie Miosi, PH.D.
• Beth Helene Mireles, ANP
• Madeline Michelle Mis, LMHC
• Archana Mishra, MD
• Kathryn Missert, DPT
• Nawal A Moallim, PA-C
• Maryam Mobarhan, DDS, MS
• Ashley Moffat, M.D.
• Anna Mohan
• Brett Mohorcic

• Acute Care Nurse Practitioner in Amherst, NY
• Providers in Amherst, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.