Individual provider Active NPI

Sarah Leahy Wiese, MD

  • Obstetrics & Gynecology Physician
  • Williamsville, NY
National Provider Identifier
1619363702
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
264021 Issued in MA
Practice address
2240 North Forest Road
Williamsville, NY 14221
Phone
(716) 639-4034
Fax
(716) 929-8940
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 299057 NY
Obstetrics & Gynecology Physician 207V00000X 264021 MA Primary

Addresses

Primary practice location

2240 North Forest Road
Williamsville, NY 14221

Mailing address

2240 North Forest Road
Williamsville, NY 14221
Phone (716) 639-4034

Other names 1

  • Sarah M Leahy Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715000505 NY Practitioner - Obstetrics/Gynecology 1355650375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audubon Women'S Medical Associates, PCGroup PAC ID 9739083163, 13 clinicians

Practice addresses (Care Compare)

2240 N Forest Rd
Williamsville, NY 14221-1357
Phone (716) 639-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
299057NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Women'S Medical Associates, PC Obstetrics & Gynecology CurrentSince Aug 1, 2019 Accepting new patients
Kaleida Health Past Accepting new patients
Lori Badach,LCSW, PLLC PastSince Aug 1, 2019 Accepting new patients

Locations

2240 N Forest Rd
Williamsville, NY 14221
Phone (716) 331-0447

Interoperability endpoints

  • Direct secure messaging: swiese@audubonwomens.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1619363702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 NORTH FOREST ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-639-4034",
            "fax_number": "716-929-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NORTH FOREST ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-639-4034",
            "fax_number": "716-929-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "SARAH",
        "middle_name": "LEAHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "299057",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "264021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "LEAHY",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.