Organization Active NPI

Donald P. Copley MD PC

  • Cardiovascular Disease Physician
  • Kenmore, NY
National Provider Identifier
1023291739
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
109170 Issued in NY
Legal business name
DONALD P. COPLEY MD PC
Practice address
3800 Delaware Ave
Suite 106
Kenmore, NY 14217-1094
Phone
(716) 874-1772
Fax
(716) 874-6925
NPI assigned
Dec 17, 2007
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Donald Copley, MDNPI 1245296557
Title
President/Owner
Phone
(716) 874-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 109170 NY Primary

Addresses

Primary practice location

3800 Delaware Ave
Suite 106
Kenmore, NY 14217-1094

Mailing address

3800 Delaware Ave
Suite 106
Kenmore, NY 14217-1094
Phone (716) 874-1772

Other identifiers 2

IdentifierTypeStateIssuer
00010035505OtherNYUNIVERA HEALTHCARE
2102744OtherNYINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Locations

760 Millersport Hwy
Buffalo, NY 14226
Phone (716) 836-1100

3800 Delaware Ave
Ste 106
Kenmore, NY 14217
Phone (716) 874-1772

Practitioners & affiliated clinicians

Practitioners 3

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1023291739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "address_2": "SUITE 106",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-874-1772",
            "fax_number": "716-874-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "address_2": "SUITE 106",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-874-1772",
            "fax_number": "716-874-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD P. COPLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "COPLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-874-1772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "109170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010035505",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2102744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.