Active NPI
Lonny G Walter, M.D.
- Family Medicine Physician
- Williamsville, NY
National Provider Identifier
1063492064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 134833
- Practice address
- 400 International Dr.
Williamsville, NY 14221 - Phone
- (716) 631-3555
- Fax
- (716) 631-9525
- NPI assigned
- Jan 18, 2006
- Last updated
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 134833 | NY | Primary |
Addresses
Primary practice location
400 International Dr.
Williamsville, NY 14221
Mailing address
400 International Dr.
Williamsville, NY 14221
Phone (716) 631-3555
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109758 | Other | NY | IHA |
| 00010185703 | Other | NY | UNIVERA |
| 000508199005 | Other | NY | BC/BS |
| 00753851 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134833 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst Medical Associates, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1154387660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1063492064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL DR.",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-631-3555",
"fax_number": "716-631-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL DR.",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-631-3555",
"fax_number": "716-631-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "LONNY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "134833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0109758",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010185703",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000508199005",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00753851",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.