Individual provider Active NPI

Chelsie Ann Bax, D.O.

  • Anesthesiology Physician
  • Medina, NY
National Provider Identifier
1942443015
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
269921-01 Issued in NY
Practice address
534 Main St
Medina, NY 14103-1436
Phone
(585) 339-8722
NPI assigned
Apr 19, 2009
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 269921-01 NY Primary

Addresses

Primary practice location

534 Main St
Medina, NY 14103-1436

Mailing address

534 Main St
Medina, NY 14103-1436
Phone (585) 339-8722

Other practice location 1

790 The Cir
Lewiston, NY 14092-2031
Phone (716) 417-6486

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304000565 NY Practitioner - Anesthesiology 7911137377 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
269921-01NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Aug 26, 2013 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Aug 26, 2013 Accepting new patients
Eastern Niagara Medical Group PC Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1942443015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031436",
            "telephone_number": "585-339-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031436",
            "telephone_number": "585-339-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 The Cir",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "NY",
            "postal_code": "140922031",
            "country_code": "US",
            "telephone_number": "716-417-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAX",
        "first_name": "CHELSIE",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "269921-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.