Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael James Fennell II, PA-C

Individual provider Physician Assistant · NPI 1023765708

Mr. Michael James Fennell II, PA-C is a Physician Assistant in Orchard Park, New York. Qualified in 2021, 5 years ago. Practices with Buffalo Rheumatology and Medicine PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3055 Southwestern Blvd Ste 100
Orchard Park, NY 14127-1231
Phone: (716) 675-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028057-01 (NY)

Record details

NPI number1023765708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Buffalo Rheumatology And Medicine Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orchard Park