Jamie L Koban, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382071 Issued in NY

Practice address

2625 Harlem Rd
Suite 210
Cheektowaga, NY 14225-4031

Phone

(716) 893-7337

Fax

(716) 893-7699

NPI assigned

Jun 26, 2009

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkoban@wheatfieldpediatrics.medentdirect.com
• Direct secure messaging: jamiekoban@cap.allscriptsdirect.net

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.

• Anthony T. Vetrano M.D.

  • Pediatrics Physician
  • Cheektowaga, NY
  • NPI 1508890393
  NPD (past)
• Century Airport Pediatrics P.C.

  • Pediatrics Physician
  • Cheektowaga, NY
  • NPI 1073542270
  NPD (past)
• Wheatfield Pediatrics, LLP

  • Pediatrics Physician
  • North Tonawanda, NY
  • NPI 1699753053
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1821226085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 210",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-7337",
            "fax_number": "716-893-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 210",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-7337",
            "fax_number": "716-893-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03121359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Klump
• Kenneth Paul Knaszak
• Paul Knope, OT/L
• Liam T Knott, M.D.
• Valerie Knowles
• Daniel E Kociencki
• Claudia Ann Kolbe-Hawthorne, RN
• Kelly Konrad, LPN
• Lynn M Kordasiewicz, NURSE PRACTITIONER
• Sheila S Korman, LCSW R ACSW

• Pediatric Nurse Practitioner in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.