Provider Demographics
NPI:1467558056
Name:CHOLEWINSKI, SCOTT P (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:P
Last Name:CHOLEWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1732
Mailing Address - Country:US
Mailing Address - Phone:716-633-8675
Mailing Address - Fax:
Practice Address - Street 1:3730 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1732
Practice Address - Country:US
Practice Address - Phone:716-633-8675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20215612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW2021566WOtherWORKERS COMPENSATION
040426002339OtherFIDELIS
000525933001OtherBLUE SHIELD OF WESTERN NY
051012000083OtherFIDELIS
149935FFOtherPREFERRED CARE
300107155OtherRAILROAD MEDICARE
00026747101OtherUNIVERA
5610990OtherINDEPENDANT HEALTH
300110830OtherRAILROAD MEDICARE
000267U7102OtherUNIVERA
000525933002OtherBLUE SHIELD OF WESTERN NY
NY02058111Medicaid
000525933001OtherBLUE SHIELD OF WESTERN NY
NYCC1634Medicare PIN