Supportive Medical Partners, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SUPPORTIVE MEDICAL PARTNERS, PLLC

Practice address

225 Como Park Blvd
Cheektowaga, NY 14227-1416

Phone

(716) 686-8460

Fax

(716) 686-8100

NPI assigned

Apr 27, 2006

Last updated

Feb 19, 2020By 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

Dr. Christopher Kerr, MDNPI 1902855125

Title

Director

Phone

(716) 989-2061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 28

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.

• Christopher W Kerr, MD

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1902855125
  Medicare reassignment NPD Authorized official
• Anne Caroline Banas, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Amherst, NY
  • NPI 1255650842

  Multi-Specialty

  Medicare reassignment NPD
• Rebecca Calabrese, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Buffalo, NY
  • NPI 1194707372
  Medicare reassignment NPD
• Ariel Marie Clay, ANP

  • Adult Health Nurse Practitioner
  • Orchard Park, NY
  • NPI 1568773596
  Medicare reassignment NPD
• Erin Davis

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1407535149
  Medicare reassignment NPD
• Beata Dobson, ANP

  • Adult Health Nurse Practitioner
  • Cheektowaga, NY
  • NPI 1699161265
  Medicare reassignment NPD
• Megan O. Farrell, M.D.

  • Internal Medicine Physician
  • Cheektowaga, NY
  • NPI 1609812635

  Pain Medicine

  Medicare reassignment NPD
• Carrie Ann Fox, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1760899827
  Medicare reassignment NPD
• Nicole M Golding

  • Adult Health Nurse Practitioner
  • Cheektowaga, NY
  • NPI 1033703087
  Medicare reassignment NPD
• Susanne Hazel, N.P.

  • Nurse Practitioner
  • Amherst, NY
  • NPI 1740243344
  Medicare reassignment NPD
• Christopher Jacobus, M.D.

  • Internal Medicine Physician
  • Cheektowaga, NY
  • NPI 1275575920

  Pain Medicine

  Medicare reassignment NPD
• Debra Lynn Luczkiewicz, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Cheektowaga, NY
  • NPI 1730313685
  Medicare reassignment NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1659338184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMO PARK BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271416",
            "telephone_number": "716-686-8460",
            "fax_number": "716-686-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMO PARK BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271416",
            "telephone_number": "716-686-8460",
            "fax_number": "716-686-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MEDICAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-989-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02681661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "DD2848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Strait
• Lori Struski, MS
• Mikhail Strut, MD
• Timothy Paul Strzalka, DDS
• Donald Sullivan
• Heather Lynn Sutch, RN
• Diane Swanson, RN
• Freida Swanson, LPN
• Jennifer Nicole Switzer, PT, DPT
• Kerryellen Lakin Syracuse, PT, DPT

• Pain Medicine Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.