Niagara Dermatology Associates LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

211871 Issued in NY

Legal business name

NIAGARA DERMATOLOGY ASSOCIATES LLC

Practice address

5320 Military Rd
Ste 104
Lewiston, NY 14092-2149

Phone

(716) 205-8324

Fax

(716) 205-8593

NPI assigned

Jul 2, 2013

Last updated

Jan 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Cameron Miller, M.D., PH.D.NPI 1861473324

Title

Member

Phone

(716) 205-8324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Cameron Miller, MD PHD

  • Dermatology Physician
  • Lewiston, NY
  • NPI 1861473324
  Medicare reassignment Care Compare group NPD Authorized official
• Leigh-Ann Wasneechak Lozzi, PA-C

  • Surgical Physician Assistant
  • Buffalo, NY
  • NPI 1699476861
  Medicare reassignment Care Compare group NPD
• Anne M Ramsdell, M.D.

  • Dermatology Physician
  • Buffalo, NY
  • NPI 1417124066
  Medicare reassignment Care Compare group NPD
• Tiffany L Cap, RPA-C

  • Medical Physician Assistant
  • Lewiston, NY
  • NPI 1073936977
  Medicare reassignment Care Compare group
• William T Goode I, PA-C

  • Physician Assistant
  • Lewiston, NY
  • NPI 1598203697
  Medicare reassignment Care Compare group
• Elizabeth Rice, PA-C

  • Physician Assistant
  • Buffalo, NY
  • NPI 1265963151
  Medicare reassignment Care Compare group
• Carrie Lynn Trabucco, RPA-C

  • Physician Assistant
  • Williamsville, NY
  • NPI 1689013369
  Medicare reassignment

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1649610858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "STE 104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-205-8324",
            "fax_number": "716-205-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "STE 104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-205-8324",
            "fax_number": "716-205-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-205-8324",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "211871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount St. Mary's Hospital of Niagara Falls (Mount St. Mary's Hospital Clinics)
• Danielle Mullen, IBCLC
• Stephen A Murak, MD
• Nicole Murray, PSY.D.
• Stacy Jean Neiswonger, ANP
• Niagara Frontier Radiologic Associates PC
• Niagara Labmasters, Inc.
• Niagara Medicine PC
• Niagara Medicine, PC
• Niagara Neurological Services and Sleep Medicine PLLC (Niagara Neurology)

• Dermatology Physician in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.