Laura M Springate, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001687 Issued in NY

Practice address

7 Community Dr
Buffalo, NY 14225-2523

Phone

(716) 505-5630

Fax

(716) 892-1936

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Stall Senior Medical LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1104087915
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1790710176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681224",
            "telephone_number": "716-505-5630",
            "fax_number": "716-892-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5630",
            "fax_number": "716-892-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGATE",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000570170002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00159788",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00021055902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "160757756001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Sprague
• Kelsey Ann Sprague, EMT BASIC 426241
• Delaney Sprecker
• Diane Rita Spring-Whiddon, MS CCC-SLP
• James Springate, MD
• Christopher R Springer, MD
• Scott Springer, PA-C
• Annalise Spritzer, FNP
• Cheryl Spulecki, CRNA
• Thomas Spulecki Jr., DDS

• Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.