Individual provider Active NPI

Marylou Scholl

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1962561399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
400009 Issued in NY
Practice address
3435 Bailey Ave
Buffalo, NY 14215-1145
Phone
(716) 835-2981
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 400009 NY Primary

Addresses

Primary practice location

3435 Bailey Ave
Buffalo, NY 14215-1145

Mailing address

3435 Bailey Ave
Buffalo, NY 14215-1145

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000005 NY Practitioner - Nurse Practitioner 6002963436 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5290 Military Rd
Suite 8
Lewiston, NY 14092-1953
Phone (716) 298-3000

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
400009NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Oct 1, 2015 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Nov 5, 2012 Accepting new patients
Kaleida Health CurrentSince Jul 21, 2010 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Nov 5, 2012 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jul 21, 2010 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

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

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5290 Military Rd
Ste 10A
Lewiston, NY 14092
Phone (716) 284-3278

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962561399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151145",
            "telephone_number": "716-835-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "MARYLOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "400009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.