Active NPI
Tyler Thomas Stuebchen, PA-C
- Physician Assistant
- East Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031700
- Practice address
- 8750 Transit Rd
East Amherst, NY 14051-2610 - Phone
- (716) 250-9999
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 031700 | NY | |
| Physician Assistant | 363A00000X | 031700 | NY | Primary |
Addresses
Primary practice location
8750 Transit Rd
East Amherst, NY 14051-2610
Mailing address
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10195 Niagara Falls Blvd
Suite 100
Niagara Falls, NY 14304-2941
Phone (716) 250-9999
260 Red Tail Rd
Orchard Park, NY 14127-1562
Phone (716) 250-9999
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
8750 Transit Rd
East Amherst, NY 14051-2610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031700 | NY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current | Accepting new patients |
Locations
4020 Sheridan Dr
Amherst, NY 14226
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470
10195 Niagara Falls Blvd
#100
Niagara Falls, NY 14304
260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711
Interoperability endpoints
- tstuebchen@excelsiorortho.medentdirect.com
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.
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1831196757
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1407610769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8750 TRANSIT RD",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512610",
"telephone_number": "716-250-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUEBCHEN",
"first_name": "TYLER",
"middle_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "031700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.
- 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.