Virginia J Zgoda, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008897 Issued in NY

Practice address

8995 Main St
Clarence, NY 14031-1927

Phone

(716) 634-8989

NPI assigned

May 15, 2006

Last updated

Oct 3, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Bloom MD

  • Family Medicine Physician
  • Clarence, NY
  • NPI 1750577680
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1912958984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 BRIDLEWOOD DR S",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512036",
            "telephone_number": "716-741-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311927",
            "telephone_number": "716-634-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGODA",
        "first_name": "VIRGINIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wny Occupational Therapy Services PLLC
• Wny Occupational Therapy Services PLLC
• Edward Jon Woodworth, DDS
• Matthew J Wrobel, LMT
• Doreen Marie Zak-Watt, L.C.S.W.
• Mark Zuchlewski, CP, FAAOP

• Medical Physician Assistant in Clarence, NY
• Providers in Clarence, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.