Active NPI
Jessie F Donaldson, PA
- Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013512
- Practice address
- 462 Grider St
Dept of Surgery St - Miller BLDG.
Buffalo, NY 14215-3021 - Phone
- (716) 898-5186
- Fax
- (716) 898-3194
- NPI assigned
- Aug 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013512 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Dept of Surgery St - Miller BLDG.
Buffalo, NY 14215-3021
Mailing address
PO Box 8000 Dept 313
University at Buffalo Surgeons, Inc.
Buffalo, NY 14267-0002
Phone (716) 888-4889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03156296 | Medicaid | NY |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Past | Accepting new patients |
Locations
2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
705 Maple Rd
Ste 300
Williamsville, NY 14221
Phone (716) 631-8400
Organizations & group practices 5
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.
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- General Acute Care Hospital
- Springville, NY
- NPI 1275553521
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1922768621
-
- Rehabilitation Hospital Unit
- Buffalo, NY
- NPI 1659310605
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1508098542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000 DEPT 313",
"address_2": "UNIVERSITY AT BUFFALO SURGEONS, INC.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142670002",
"telephone_number": "716-888-4889",
"fax_number": "716-849-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "DEPT OF SURGERY ST - MILLER BLDG.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-5186",
"fax_number": "716-898-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "JESSIE",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03156296",
"state": "NY"
}
],
"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 Apr 2, 2014; 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.