Eric Tenbrock
Internal Medicine (Pulmonary Disease)

Address: 100 High St, Buffalo, NY 14203-1126
Phone: 7168592271

Eric Tenbrock (NPI# 1124129820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124129820
Entity Type Individual
Full Name Eric Tenbrock
Credential MD
Gender Male
Practice Address 100 High St
Buffalo
NY 14203-1126
Practice Telephone 7168592271
Mailing Address 100 High St
Buffalo
NY 14203-1126
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-09-26
Last Update Date 2016-07-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RP1001X Internal Medicine · Pulmonary Disease Allopathic & Osteopathic Physicians 163893 NY
No 207RS0012X Internal Medicine · Sleep Medicine Allopathic & Osteopathic Physicians 163893 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 2807576 OTHER INDEPENDENT HEALTH
NY 00010178001 OTHER EXCELLUS UNIVERA
NY 00917588 MEDICAID
NY 005008291 OTHER HEALTH NOW

Physician Overview

NPI 1124129820
PAC ID by PECOS 3274636030
Professional Enrollment ID I20070315000146
Full Name Eric Ten Brock
Organization Legal Name UNITED MEMORIAL MEDICAL CENTER
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 1980
Primary Specialty PULMONARY DISEASE
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 0547259376
Number of Group Practice Members 100
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330103 OLEAN GENERAL HOSPITAL
330073 UNITED MEMORIAL MEDICAL CENTER

Office Location

Street Address 100 HIGH ST
City BUFFALO
State NY
Zip Code 14203-1126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891114625 Ashley Chopko Student in an Organized Health Care Education/Training Program 100 High St, Department of Surgery, Buffalo, NY 14203-1126 2014-04-09
1245710730 Ann Laskowski Nurse Practitioner 100 High St, Buffalo, NY 14203-1126 2018-08-15
1861971558 Teresa Ann Sion Nurse Practitioner 100 High St, Buffalo, NY 14203-1126 2018-08-13
1396224317 Julie Kosmerl Surgery 100 High St, Buffalo, NY 14203-1126 2018-08-09
1952889123 Michael Kai-man Tso Neurological Surgery 100 High St, Buffalo, NY 14203-1126 2018-07-31
1952888729 John A Fraser Mcarthur Pharmacist 100 High St, Buffalo, NY 14203-1126 2018-07-25
1457837841 Ryanne R Dugan Physician Assistant 100 High St, Buffalo, NY 14203-1126 2018-07-18
1609352095 Gina M. Dragone Nurse Practitioner 100 High St, Buffalo, NY 14203-1126 2018-07-18
1629563200 Emily Susan Graber Nurse Practitioner 100 High St, Buffalo, NY 14203-1126 2018-06-26
1073005591 Janine Wanamaker Registered Nurse 100 High St, Buffalo, NY 14203 2018-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841785987 Giulia Michela Martone Student in an Organized Health Care Education/Training Program Oishei Children's Hospital, 818 Ellicott St, Buffalo, NY 14203 2018-06-29
1477047801 Sasha Pannu Student in an Organized Health Care Education/Training Program 818 Ellicott Street, Buffalo, NY 14203 2018-06-19
1245720895 Gull Zareen Khan Sial Student in an Organized Health Care Education/Training Program University At Buffalo, Pediatrics, C/o Lea Passage., 1001 Main Street, Medical Education, Buffalo, NY 14203 2018-05-18
1568968915 Hassaan Saeed Student in an Organized Health Care Education/Training Program Buffalo General Medical Center 100 High Street, Department of Emergency Medicine (d-6), Buffalo, NY 14203 2018-04-04
1760988299 Michael Mezzadri Student in an Organized Health Care Education/Training Program Buffalo General Medical Center, 100 High St., Buffalo, NY 14203 2018-04-03
1457879058 Jacqueline Alisse Slagor Physical Therapist 1031 Michigan Ave, Buffalo, NY 14203 2017-09-03
1447774575 Naiman Michael Emmanuel Fenech Student in an Organized Health Care Education/Training Program 77 Goodell St Suite 550, Buffalo, NY 14203 2017-07-31
1881124485 Mia Divirgilio Specialist 50 E. North St, Buffalo, NY 14203 2017-06-15
1639609787 Knickerbocker Dialysis Inc Clinic/Center 520 Ellicott St, Ste 100, Buffalo, NY 14203 2017-06-12
1881129914 Monica Grayson Mechanotherapist 865 Michigan Ave, Buffalo, NY 14203 2017-04-26
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144268103 Ravi K Desai, Md, PC Internal Medicine 33 Middlesex Rd, Buffalo, NY 14216-3615 2006-06-03
1396701843 Iqbal Abdus Samad Internal Medicine 2148 Main St, Buffalo, NY 14214-2668 2006-04-25
1598720096 Susan Hellmann Schwartz Internal Medicine 33 Gates Cir Apt 5c, Buffalo, NY 14209-1197 2006-04-18
1922331115 Jamie Norman Nadler Internal Medicine 100 High St, Bgh, Buffalo, NY 14203-1126 2009-09-07
1093913519 Carla Anne Frederick Internal Medicine 100 High St, B8, Buffalo, NY 14203-1126 2007-07-05
1295869816 Bruce L Platt M.d.,p.c. Internal Medicine 1616 Kensington Ave, Buffalo, NY 14215-1433 2007-03-15
1265579536 Anthony J Buscaglia Internal Medicine 515 Abbott Rd, Suite 102, Buffalo, NY 14220-1700 2007-01-30
1538269857 Jamson Lwebuga-mukasa Internal Medicine 100 High St, Buffalo, NY 14203-1126 2006-09-25
1295838233 M Jeffery Mador Internal Medicine 3495 Bailey Ave, Buffalo, NY 14215-1129 2006-09-06
1215042700 William Gibbons Internal Medicine 100 High St, Buffalo, NY 14203-1126 2006-08-21
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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