Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nathan Sedlacek

Individual provider Physician Assistant · NPI 1790473742

Mr. Nathan Sedlacek is a Physician Assistant in Buffalo, New York. Qualified in 2022, 4 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

100 High St
Buffalo, NY 14203-1126
Phone: (716) 859-3508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 Maple Rd, Williamsville, NY 14221-3647 — (716) 568-3514

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 029907 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 029907 (NY)

Record details

NPI number1790473742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Buffalo