Provider Demographics
NPI:1689679730
Name:FICHTE, CLAUS MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUS
Middle Name:MICHAEL
Last Name:FICHTE
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 1:4202 LOWER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14174-9753
Mailing Address - Country:US
Mailing Address - Phone:716-754-1810
Mailing Address - Fax:
Practice Address - Street 1:2825 NIAGARA FALLS BLVD
Practice Address - Street 2:STE 130
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2021
Practice Address - Country:US
Practice Address - Phone:716-564-2020
Practice Address - Fax:716-564-2060
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124644-2174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0807500OtherINDEPENDENT HEALTH
NY161578122OtherAMERISIGHT
NY251744484OtherNOVA
NY161578122OtherVISION LCA
NY251744484OtherVISION LCA
NY00010055201OtherUNIVERA
NY161578122OtherNOVA
NY000507596002OtherCOMMUNITY BLUE
NY000507596004OtherCOMMUNITY BLUE
NY00623568Medicaid
NY180023883OtherMEDICARE RAILROAD
NY251744484OtherEMPIRE - UNITED HEALTHCAR
NY00623568Medicaid
NY251744484OtherVISION LCA
NY000507596004OtherCOMMUNITY BLUE