National Provider Identifier

Travis Stephen Schake, PA-C

Travis Stephen Schake, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 204-3200.

NPI 1205397866Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1205397866
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 27, 2019
Last Updated
January 06, 2025

Practice Location

  • 5959 Big Tree RD
  • Orchard Park, NY 14127-2291

Phone: (716) 204-3200

Mailing Address

  • 6658 Holiday Dr
  • Boston, NY 14025-9646

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1205397866
Entity Type
Individual
Last Name
Schake
First Name
Travis
Middle Name
Stephen
Name Prefix
Mr.
Credential
PA-C
Mailing Street Address
6658 Holiday Dr
Mailing City
Boston
Mailing State
NY
Mailing ZIP Code
14025-9646
Mailing Country
US
Mailing Phone
(585) 770-4068
Practice Street Address
5959 Big Tree RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 204-3200
Enumeration Date
March 27, 2019
Last Updated
January 06, 2025
Sex
Male
Sole Proprietor
No
Certification Date
January 06, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)