Active NPI
Donald P. Copley MD PC
- Cardiovascular Disease Physician
- Kenmore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 109170
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Copley, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010035505 | Other | NY | UNIVERA HEALTHCARE |
| 2102744 | Other | NY | INDEPENDENT HEALTH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Kenmore, NY
- NPI 1245296557
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1073573101
-
- Neurology Physician
- Kenmore, NY
- NPI 1396703583
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.