National Provider Identifier
Tracy K Bauer, PA
Tracy K Bauer, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1000.
Profile Overview
- NPI
- 1629036207
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 03, 2006
- Last Updated
- December 04, 2021
Practice Location
- 295 Essjay RD
- Williamsville, NY 14221-8216
Phone: (716) 630-1000
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Physician Assistant (363A00000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221
Full Record
- NPI
- 1629036207
- Entity Type
- Individual
- Last Name
- Bauer
- First Name
- Tracy
- Middle Name
- K
- Credential
- PA
- Provider Other Last Name
- Krawczyk
- Provider Other First Name
- Tracy
- Provider Other Middle Name
- Elaine
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 295 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8216
- Practice Country
- US
- Practice Phone
- (716) 630-1000
- Enumeration Date
- May 03, 2006
- Last Updated
- December 04, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 0400501003374 (NY, Fidelis), 11563494 (NY, Caqh), 177013BJ (NY, Preferred Care), 000570180003 (NY, BCBS), P001890577 (NY, Medicare Railroad), 9513165 (NY, Iha)