Kim Marie Wielgasz, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0119821 Issued in NY

Practice address

50 East North Street
Buffalo Hearing and Speech Center
Buffalo, NY 14203

Phone

(716) 885-8318

Fax

(716) 885-0229

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1467636480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EAST NORTH STREET",
            "address_2": "BUFFALO HEARING AND SPEECH CENTER",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-885-8318",
            "fax_number": "716-885-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EAST NORTH STREET",
            "address_2": "BUFFALO HEARING AND SPEECH CENTER",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-885-8318",
            "fax_number": "716-885-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELGASZ",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0119821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wieczerzynski, NP
• Alicia Marie Wieczorek, LCSW
• Christine M Wieder, RN
• James N Wieland, DDS
• Edna Wielbon
• Carla Wienke, MS, CAS
• Ann L. Wiertel, FNP
• Christina Wiertel, ANP
• Elizabeth Wierzba
• Matthew L. Wiese, M.D.

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.