Organization Active NPI

William Stephan, M.D., P.C.

  • Family Medicine Physician
  • Tonawanda, NY
National Provider Identifier
1083644306
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAM STEPHAN, M.D., P.C.
Practice address
4080 Delaware Ave
Tonawanda, NY 14150-6848
Phone
(716) 875-7399
Fax
(716) 692-4342
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
William Stephan, MD
Title
Owner
Phone
(716) 875-7399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4080 Delaware Ave
Tonawanda, NY 14150-6848

Mailing address

PO Box 92336
Rochester, NY 14692-0336
Phone (716) 692-3302

National Provider Directory

National Provider Directory

Locations

4080 Delaware Ave
Tonawanda, NY 14150
Phone (716) 631-3555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1083644306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92336",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146920336",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 DELAWARE AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506848",
            "telephone_number": "716-875-7399",
            "fax_number": "716-692-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STEPHAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-875-7399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.