Chadwin Carter Elgersma, D.O

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

263976-1 Issued in NY

Practice address

2157 Main St
Buffalo, NY 14214

Phone

(716) 836-7510

Fax

(716) 832-3540

NPI assigned

Feb 4, 2011

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambulatory Medical Anesthesia Service, PC

  • Anesthesiology Physician
  • Amherst, NY
  • NPI 1609813583
  Medicare reassignment NPD
• Northtowns Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Williamsville, NY
  • NPI 1073384855
  Medicare reassignment NPD
• Parkside Medical Anesthesia Associates

  • Anesthesiology Physician
  • Buffalo, NY
  • NPI 1871537464
  Medicare reassignment NPD
• Southtowns Ambulatory Anesthesia PLLC

  • Anesthesiology Physician
  • Orchard Park, NY
  • NPI 1760843056
  Medicare reassignment NPD
• Buffalo Advanced Medical, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Buffalo, NY
  • NPI 1225271364
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1407152697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 HARLEM RD STE 202",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151946",
            "telephone_number": "716-836-7510",
            "fax_number": "716-832-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14214",
            "telephone_number": "716-836-7510",
            "fax_number": "716-832-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 Main St",
            "address_2": "University At Buffalo Anesthesiology Hayes Annex A",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14214",
            "country_code": "US",
            "telephone_number": "716-829-6102",
            "fax_number": "716-829-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGERSMA",
        "first_name": "CHADWIN",
        "middle_name": "CARTER",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "263976",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "263976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.