Individual provider Active NPI

Patricia Ann Mowery-Rushton, PH.D

  • Clinical Cytogenetics Physician
  • Buffalo, NY
National Provider Identifier
1447443817
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
License
CQMOWEP1 Issued in NY
Practice address
55 Amherst Villa Rd
Buffalo, NY 14225-1400
Phone
(716) 710-7080
NPI assigned
Aug 20, 2007
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X CQMOWEP1 NY Primary

Addresses

Primary practice location

55 Amherst Villa Rd
Buffalo, NY 14225-1400

Mailing address

55 Amherst Villa Rd
Buffalo, NY 14225-1400
Phone (716) 710-7080

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CQMOWEP1NYMDClinical Cytogenetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KSL Diagnostics Inc PastSince Aug 1, 2020 Accepting new patients
Beutner Labs Inc PastSince Jul 16, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1447443817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "716-710-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "716-710-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY-RUSHTON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NY",
            "license": "CQMOWEP1",
            "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 Jul 14, 2023; 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.