Bac for Women Colvin Eggert, LLC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BAC FOR WOMEN COLVIN EGGERT, LLC

Practice address

3157 Eggert Rd
Tonawanda, NY 14150-7156

Phone

(716) 348-3755

Fax

(716) 348-3754

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Connie E Emerling

Title

Jr Partner

Phone

(716) 348-3755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1497089262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 EGGERT RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507156",
            "telephone_number": "716-348-3755",
            "fax_number": "716-348-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 EGGERT RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507156",
            "telephone_number": "716-348-3755",
            "fax_number": "716-348-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC FOR WOMEN COLVIN EGGERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "EMERLING",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "JR PARTNER",
        "authorized_official_telephone_number": "716-348-3755"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF WNY",
            "identifier": "2225290120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Arthur Jr., RPH
• Aurora Home Care Inc
• Allen A Austin, MA CCC SLP
• Amy L Austin
• Shannon C Ayotte, LPN
• Marie Bage, LMHC
• Jenny T. Bagen, NP
• Courteney Peyton Bailey
• Thomas J. Balazs, D.D.S.
• Tadla Baliah, M.D.

• All providers in Tonawanda, NY
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.