ERICA RAE BASTIAN PA-C NPI 1053860809

NPI Information

NPI: 1053860809
Provider Name: ERICA RAE BASTIAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: TRINITY MEDICAL WNY PC

PECOS Registration: Yes

Address:
3900 N BUFFALO ST
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 656-4852
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Erica Rae Bastian, PA-C is a surgical physician assistant in Williamsville, NY with 8 years of experience. Erica Rae Bastian, PA-C NPI is 1053860809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 N BUFFALO ST
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 656-4852
Fax: (716) 817-1779

The NPI 1053860809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2016 and was last updated on 8/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		23 019956	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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