NPIMap

Organization Active NPI

Parkview Primary Care Physicians, PLLC

  • Internal Medicine Physician
  • Cheektowaga, NY
National Provider Identifier
1003806746
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
164517 Issued in NY
Legal business name
PARKVIEW PRIMARY CARE PHYSICIANS, PLLC
Practice address
20 Losson Rd
Suite 105
Cheektowaga, NY 14227-2394
Phone
(716) 558-7727
NPI assigned
Oct 25, 2005
Last updated
Jun 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Kavcic, MDNPI 1992708754
Title
Partner
Phone
(716) 558-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202290 NY
Internal Medicine Physician 207R00000X 164517 NY Primary

Addresses

Primary practice location

20 Losson Rd
Suite 105
Cheektowaga, NY 14227-2394

Mailing address

20 Losson Rd
Suite 105
Cheektowaga, NY 14227-2394
Phone (716) 558-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040417000270 NY Part B Supplier - Clinic/Group Practice 0244225480 Receives reassigned benefits from 7 practitioners
Practice locations: Cheektowaga, NY

National Provider Directory

National Provider Directory

Locations

20 Losson Rd
Ste 105
Cheektowaga, NY 14227
Phone (716) 558-7727

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1003806746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOSSON RD",
            "address_2": "SUITE 105",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272394",
            "telephone_number": "716-558-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LOSSON RD",
            "address_2": "SUITE 105",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272394",
            "telephone_number": "716-558-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PRIMARY CARE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "KAVCIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-558-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202290",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.