Individual provider Active NPI

Pamela A Clough, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1275575367
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
525800 Issued in NY
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 836-7510
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 525800 NY Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

138 Dorchester Rd
Buffalo, NY 14213-1445
Phone (716) 883-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000261 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709888696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Anesthesiology PCGroup PAC ID 7113997529, 90 clinicians

Practice addresses (Care Compare)

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-6570

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
525800NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP CurrentSince May 1, 2018 Accepting new patients
Endoscopy Center of Niagara, LLC CurrentSince May 1, 2021 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Jul 1, 2023 Accepting new patients
Ambulatory Medical Anesthesia Service, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2009 Accepting new patients
Endoscopy Center of Western New York LLC CurrentSince May 1, 2021 Accepting new patients
Parkside Medical Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

945 Sweet Home Rd
Buffalo, NY 14226
Phone (716) 831-9435

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

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

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304
Phone (716) 284-3264

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

60 Maple Rd
#2
Williamsville, NY 14221
Phone (716) 332-1000

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1275575367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 DORCHESTER RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131445",
            "telephone_number": "716-883-9291"
        },
        {
            "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": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "525800",
            "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 Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.