Winston G Douglas MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WINSTON G DOUGLAS MD PC

Practice address

755 Wehrle Dr
Buffalo, NY 14225-1319

Phone

(716) 884-8033

Fax

(716) 342-2523

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Winston G Douglas, M.D.NPI 1548297328

Title

Owner

Phone

(716) 884-8033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winston George Douglas, MD

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1548297328
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela J Burton, PA

  • Medical Physician Assistant
  • Williamsville, NY
  • NPI 1669460622
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1043528409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251319",
            "telephone_number": "716-884-8033",
            "fax_number": "716-906-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251319",
            "telephone_number": "716-884-8033",
            "fax_number": "716-342-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON G DOUGLAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-884-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03308216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Winner, NNP
• Alana Winnert
• Leah Winnert
• Michael S Winnicki, MD
• Rebecca Winski, PHARMD
• Brianna Winston
• Anna Winter, OTR
• Colleen Elizabeth Winter, CASAC-T
• Kalei Winter
• Nanci Lee Winterhalter, SLP

• Family Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.