Individual provider Active NPI

Amanda Marie Barnhard, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1679003206
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020872 Issued in NY
Practice address
237 Linwood Ave FL 1
Buffalo, NY 14209-2009
Phone
(716) 884-8018
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020872 NY Primary

Addresses

Primary practice location

237 Linwood Ave FL 1
Buffalo, NY 14209-2009

Mailing address

130 4TH Ave
Lancaster, NY 14086-3039
Phone (716) 270-3822

Other practice location 1

1360 N Forest Rd
Williamsville, NY 14221-1200
Phone (716) 639-0744

Other names 1

  • Amanda Marie Wolf 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212001841 NY Practitioner - Physician Assistant 8527328566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020872NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center of Wny, Inc. CurrentSince Dec 23, 2017 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Dec 23, 2017 Accepting new patients
Buffalo Pediatric Associates LLP Past Accepting new patients

Locations

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

155 Lawn Ave
Ste 100
Buffalo, NY 14207
Phone (248) 849-3014

Interoperability endpoints

  • Direct secure messaging: abarnhardpa@buffalopediatric.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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1679003206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 4TH AVE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863039",
            "telephone_number": "716-270-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LINWOOD AVE FL 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092009",
            "telephone_number": "716-884-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 N Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142211200",
            "country_code": "US",
            "telephone_number": "716-639-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNHARD",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WOLF",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.