National Provider Identifier
Michael Joseph Edbauer, D.O.
Michael Joseph Edbauer, D.O. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Hamburg, NY and a listed phone number of (716) 646-1084.
Source: public NPPES record, last updated November 30, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1932105640
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 27, 2005
- Last Updated
- November 30, 2016
Practice Location
- 3040 Amsdell RD
- Hamburg, NY 14075-5835
Phone: (716) 646-1084
Mailing Address
- 2875 Union RD
- Ste 8
- Cheektowaga, NY 14227-1461
Specialties
- Pediatrics Physician (208000000X)
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Biography
Michael Edbauer, DO, MBA, is a board-certified pediatrician and longtime Western New York health care executive. He serves as senior vice president of markets at Highmark, after previously leading Highmark Western and Northeastern New York and holding executive roles with Catholic Medical Partners, Trinity Medical, and HealthNow New York. Dr. Edbauer earned his osteopathic medical degree from New York College of Osteopathic Medicine, an MBA from Canisius College, and a bachelor’s degree from the University at Buffalo.
Full Record
- NPI
- 1932105640
- Entity Type
- Individual
- Last Name
- Edbauer
- First Name
- Michael
- Middle Name
- Joseph
- Credential
- D.O.
- Mailing Street Address
- 2875 Union RD
- Mailing Address Line 2
- Ste 8
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-1461
- Mailing Country
- US
- Mailing Phone
- (716) 206-1503
- Mailing Fax
- (716) 651-9855
- Practice Street Address
- 3040 Amsdell RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-5835
- Practice Country
- US
- Practice Phone
- (716) 646-1084
- Enumeration Date
- June 27, 2005
- Last Updated
- November 30, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 040426002674 (NY, Fidelis), 000528208005 (NY, Bc/Bs), 1209831 (NY, Indepedent Health), 00010050104 (NY, Univera), 01246139 (NY)