Wheatfield Pediatrics, LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WHEATFIELD PEDIATRICS, LLP

Practice address

2890 Niagara Falls Blvd
North Tonawanda, NY 14120-1114

Phone

(716) 807-7337

Fax

(716) 807-0848

NPI assigned

Jan 5, 2006

Last updated

Apr 8, 2025By 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

Mrs. Sara B. Devantier

Title

Office Manager

Phone

(716) 807-7337

Specialties & licenses 1

Addresses

Other identifiers 1

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 23

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.

• Haley Joanne Funderburk, PA-C

  • Physician Assistant
  • Amherst, NY
  • NPI 1588450373
  NPD
• Maureen Patrice McGovern, CPNP

  • Pediatrics Physician
  • North Tonawanda, NY
  • NPI 1669651972
  NPD
• Edward Apen, PA

  • Physician Assistant
  • North Tonawanda, NY
  • NPI 1952260986
  NPD (past)
• Tiffany L Cap, RPA-C

  • Medical Physician Assistant
  • Lewiston, NY
  • NPI 1073936977
  NPD (past)
• Maureen T Dallas, PNP

  • Pediatric Nurse Practitioner
  • North Tonawanda, NY
  • NPI 1629621867
  NPD (past)
• Cara Lucille Fox

  • Physician Assistant
  • North Tonawanda, NY
  • NPI 1336035070
  NPD (past)
• Linda S Grace, IBCLC

  • Lactation Consultant (Non-RN)
  • North Tonawanda, NY
  • NPI 1013415645
  NPD (past)
• Ann Marie Jobes, M.D.

  • Pediatrics Physician
  • North Tonawanda, NY
  • NPI 1144224072
  NPD (past)
• Keith Klostermann, PHD, LMHC

  • Mental Health Counselor
  • North Tonawanda, NY
  • NPI 1861911695
  NPD (past)
• Jamie L Koban, PNP

  • Pediatric Nurse Practitioner
  • Cheektowaga, NY
  • NPI 1821226085
  NPD (past)
• Adam V.E. Lock, PNP

  • Pediatrics Physician
  • North Tonawanda, NY
  • NPI 1952028243
  NPD (past)
• Jennifer A. Manka, P.N.P.

  • Pediatric Nurse Practitioner
  • North Tonawanda, NY
  • NPI 1346575156
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1699753053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201114",
            "telephone_number": "716-807-7337",
            "fax_number": "716-807-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201114",
            "telephone_number": "716-807-7337",
            "fax_number": "716-807-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATFIELD PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "DEVANTIER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-807-7337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02070184",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendelville Fire Co., Inc.
• Judy Ann Wesolowski, MD
• Karen Beth West, LMT
• Wheatfield Dental Group
• Wheatfield Family Medicine, LLC
• Wheatfield Physical Therapy P.C.
• Wheeler, Adult Health NP, PLLC (Innovative Care and Consulting)
• Lisa M Wheeler, NP
• Anne Marie Whelan, MS
• Heather Ashley Whitley, LMT

• Pediatrics Physician in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.