Provider Demographics
NPI:1528064136
Name:HELLRIEGEL, JOHN CURTIS JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CURTIS
Last Name:HELLRIEGEL
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 BRANTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4641
Mailing Address - Country:US
Mailing Address - Phone:716-838-3209
Mailing Address - Fax:
Practice Address - Street 1:155 LAWN AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1816
Practice Address - Country:US
Practice Address - Phone:716-875-2904
Practice Address - Fax:716-875-6717
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137338207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0700495OtherIHA
005027831OtherBC/BS/CB
00010075103OtherEXCELLUS
005027831OtherBC/BS/CB
082331Medicare ID - Type Unspecified