JACQUELINE KARSTEDT
JACQUELINE RAYMOND · Physician Assistant

Address: 12657 Seneca Rd, Irving, NY 14081-9707

JACQUELINE KARSTEDT (NPI# 1659865509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659865509
Entity Type Individual
Full Name JACQUELINE KARSTEDT
Other Name JACQUELINE RAYMOND (Former Name)
Gender Female
Credential PA-C
Practice Address 12657 Seneca Rd
Irving
NY 14081-9707
Practice Telephone 7149344400
Mailing Address 425 Essjay Rd Ste 170
Williamsville
NY 14221-8235
Mailing Telephone 7166301219
Mailing Fax Number 7168171726
Certification Date 2020-09-03
Enumeration Date 2018-06-14
Last Update Date 2020-09-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
2816 Pleasant Ave, Lake View, NY 140859624 7166465500
5844 Southwestern Blvd Ste 500, Hamburg, NY 140753685 7166465500 7166465502
3900 N Buffalo St, Orchard Park, NY 141271842 7166564832 7162505935

Physician Overview

PECOS Associate Control (PAC) ID 7113279498
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20181015002960
Last Name KARSTEDT
First Name JACQUELINE
Middle Name V
Organization Legal Name BUFFALO MEDICAL GROUP,PC
Location 295 Essjay Rd, Williamsville, NY 14221-8216
Phone Number 7166301000
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7012820301
Number of Group Practice Members 239

Office Location

Street Address 12657 SENECA RD
City IRVING
State NY
Zip Code 14081-9707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003317132 Jolene Dorsheimer Technician/Technologist · Optician 12657 Seneca Rd, Irving, NY 14081-9707 2018-02-23
1396375077 Janice Ren Shaver Ophthalmology 12657 Seneca Rd, Irving, NY 14081-9707 2020-01-22
1215426804 William Stanley May Technician/Technologist · Optician 12657 Seneca Rd, Irving, NY 14081-9707 2018-05-09
1750535282 Sharma Ophthalmology Pllc Ophthalmology 12657 Seneca Rd, Irving, NY 14081-9707 2008-11-11
1922268226 Optics Fashion Eyewear, LLC Technician/Technologist · Optician 12657 Seneca Rd, Irving, NY 14081-9707 2008-06-11
1457546400 Sharma Medical, Pllc Family Medicine 12657 Seneca Rd, Irving, NY 14081-9707 2007-09-12
1548346463 Lakeshore Medical Care, PC · Lakeshore Eye Care Ophthalmology 12657 Seneca Rd, Irving, NY 14081-9707 2006-10-31
1851494769 Vishal Sharma Ophthalmology 12657 Seneca Rd, Irving, NY 14081-9707 2006-09-06
1932103769 Nisha Sharma Family Medicine 12657 Seneca Rd, Irving, NY 14081-9707 2005-06-09

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1982231890 Seneca Nation of Indians Ambulance · Land Transport 12879 Route 438, Irving, NY 14081 2020-03-23
1437699154 Amirkia Akbari Physical Therapist 845 Main Rd, Irving, NY 14081 2017-02-28
1710373287 Christopher Zonneville Physical Therapist 845 Main Road, Irving, NY 14081 2015-04-12
1982834271 Lakeshore Orthopedic Group P.C. Specialist 849 Rts 5 & 20, Suite 1, Irving, NY 14081 2009-07-21
1023236759 Thomas Charles Ciancio Physical Therapist 845 Routes 5 and 20, Irving, NY 14081 2007-04-20
1568688877 Edgar Lacson Bangsil Emergency Medicine 845 Route 5 & 20, Irving, NY 14081 2007-04-17
1023232444 Mohammed Sabir Emergency Medicine 845 Routes Five and Twenty, Irving, NY 14081 2007-04-13
1427188457 Tlc Health Network · Tlc Health Network Long Term Home Health Home Health 12644 Seneca Road, Irving, NY 14081 2007-03-07
1558426841 Maureen Margaret Schichtel Physical Therapist 845 Rt 5& 20, Irving, NY 14081 2006-12-27
1003923103 Michael M Candaras Psychiatry & Neurology · Neurology 12655 Seneca Rd, Irving, NY 14081 2006-08-24
Find all providers in zip 14081

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639754294 Anne Fuller · Anne Carpenter 3501 N Macarthur Blvd Ste 455, Irving, TX 75062-3651 2021-03-16
1356943013 Alyssa Brielle Brion 6161 N St Hwy 161, Irving, TX 75038-2220 2020-11-09
1285242156 Sonya Mohan 6161 N State Highway 161 Ste 200, Irving, TX 75038-2220 2020-07-16
1366072175 Taylor Whitling 2005 W Park Dr Ste 100, Irving, TX 75061-2034 2020-01-21
1134762958 Katanga Muanza 2001 N Macarthur Blvd Ste 655, Irving, TX 75061-2244 2019-10-24
1063063238 Ly Thao Nguyen Chu 2021 N Macarthur Blvd Ste 450, Irving, TX 75061-2219 2019-09-27
1063078491 Mahnura Khatoon Siddika 2443 Newcastle Bnd, Irving, TX 75063-8120 2019-05-10
1639649189 Andrea Lee Kwan 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 2018-11-27
1356864722 Candace Leann Mullens 2005 West Park Dr., Ste. 100, Irving, TX 75061 2017-07-18
1003209529 Ben Ray Graham 1901 N Macarthur Blvd, Irving, TX 75061-2220 2015-03-09
Find all providers in IRVING

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City IRVING
Zip Code 14081

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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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