Active NPI
Emily Fraser Branche, M.D.
- Pediatrics Physician
- Batavia, NY
National Provider Identifier
1306892344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 238232
- Practice address
- 314 Ellicott St Ste 2
Batavia, NY 14020 - Phone
- (585) 483-3081
- Fax
- (585) 483-3084
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 238232 | NY | Primary |
Addresses
Primary practice location
314 Ellicott St Ste 2
Batavia, NY 14020
Mailing address
314 Ellicott St Ste 2
Batavia, NY 14020-3650
Phone (585) 483-3081
Other practice location 1
8604 Main St Ste 4
Williamsville, NY 14221-7463
Phone (716) 428-3507
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02734430 | Medicaid | NY | |
| 2615324 | Other | UNITED HEALTH CARE | |
| P010238232 | Other | BLUE CHOICE | |
| 186127 | Other | PREFERRED CARE | |
| 7243840 | Other | AETNA | |
| P020238232 | Other | EXCELLUS BC BS | |
| 1213219 | Other | INDEPENDENT HEALTH | |
| 000528512002 | Other | COMMUNITY BLUE | |
| 00027621501 | Other | UNIVERA |
Other names 1
- Dr. Emily Fraser Tenney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238232 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser - Branche Medical, PLLC | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Batavia, NY
- NPI 1578949988
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1306892344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 ELLICOTT ST STE 2",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140203650",
"telephone_number": "585-483-3081",
"fax_number": "585-483-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 ELLICOTT ST STE 2",
"city": "BATAVIA",
"state": "NY",
"postal_code": "14020",
"telephone_number": "585-483-3081",
"fax_number": "585-483-3084"
}
],
"practiceLocations": [
{
"address_1": "8604 Main St Ste 4",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142217463",
"country_code": "US",
"telephone_number": "716-428-3507",
"fax_number": "716-428-3510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASER BRANCHE",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "238232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02734430",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2615324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010238232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "186127",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7243840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BC BS",
"identifier": "P020238232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1213219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000528512002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027621501",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "TENNEY",
"middle_name": "FRASER",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.