Active NPI
Dawn M Dolan, RPA-C
- Physician Assistant
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010607
- Practice address
- 1416 Sweet Home Rd
Suite # 12
Amherst, NY 14228-2784 - Phone
- (716) 636-7800
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 010607-1 | NY | |
| Physician Assistant | 363A00000X | 010607 | NY | Primary |
Addresses
Primary practice location
1416 Sweet Home Rd
Suite # 12
Amherst, NY 14228-2784
Mailing address
1416 Sweet Home Rd
Suite # 12
Amherst, NY 14228-2784
Phone (716) 636-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02702936 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077
Hospital & facility affiliations
- Kaleida Health
- Sisters of Charity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010607-1 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients |
Locations
2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300
111 N Maplemere Rd
Ste 200
Williamsville, NY 14221
Phone (716) 626-2644
Interoperability endpoints
- ddolan@gppc.medentdirect.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Emergency Medicine Physician
- Orchard Park, NY
- NPI 1427224625
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1871549048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 SWEET HOME RD",
"address_2": "SUITE # 12",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282784",
"telephone_number": "716-636-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 SWEET HOME RD",
"address_2": "SUITE # 12",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282784",
"telephone_number": "716-636-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "DAWN",
"middle_name": "M",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "010607-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02702936",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.