Individual provider Active NPI

Christa R Warthling, RPAC

  • Physician Assistant
  • N Tonawanda, NY
National Provider Identifier
1750364840
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010668 Issued in NY
Practice address
415 Tremont St
N Tonawanda, NY 14120-6135
Phone
(716) 690-2001
Fax
(716) 692-4342
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 010668 NY Primary

Addresses

Primary practice location

415 Tremont St
N Tonawanda, NY 14120-6135

Mailing address

908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-2160

Other identifiers 2

IdentifierTypeStateIssuer
00057054601OtherNYBLUE CROSS/COMM BLUE
00027238201OtherNYUNIVERA

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
I20050901000648 NY Practitioner - Physician Assistant 8921030693 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Cardiology & Pulmonary Assoc PC Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients
Kaleida Health Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients

Organizations & group practices 5

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1750364840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-2160",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-690-2001",
            "fax_number": "716-692-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTHLING",
        "first_name": "CHRISTA",
        "middle_name": "R",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/COMM BLUE",
            "identifier": "00057054601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027238201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.