Individual provider Active NPI

Raymond Oconnell Schultz, MD

  • Plastic and Reconstructive Surgery Physician
  • Williamsville, NY
National Provider Identifier
1124014824
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
1834301 Issued in NY
Practice address
6044 Main St
Suite 106
Williamsville, NY 14221-5411
Phone
(716) 650-4622
Fax
(716) 276-3400
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 1834301 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 1834301 NY Primary

Addresses

Primary practice location

6044 Main St
Suite 106
Williamsville, NY 14221-5411

Mailing address

6044 Main St
Suite 106
Williamsville, NY 14221-5411
Phone (716) 631-8500

Other practice location 1

6435 Webster Rd
Orchard Park, NY 14127-1835
Phone (716) 650-4622

Other identifiers 1

IdentifierTypeStateIssuer
240005927OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000796 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 2365489523 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Albany Medical College of Union University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6044 Main St
Suite 106
Williamsville, NY 14221-6883
Phone (716) 650-4622

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy45
Melanoma (skin cancer) excision34
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1834301NYMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia Plastic Surgery Plastic and Reconstructive Surgery Current Accepting new patients

Locations

6044 Main St
Ste 106
Williamsville, NY 14221
Phone (716) 635-0230

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1124014824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 MAIN ST",
            "address_2": "SUITE 106",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215411",
            "telephone_number": "716-631-8500",
            "fax_number": "716-631-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 MAIN ST",
            "address_2": "SUITE 106",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215411",
            "telephone_number": "716-650-4622",
            "fax_number": "716-276-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6435 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271835",
            "country_code": "US",
            "telephone_number": "716-650-4622",
            "fax_number": "716-276-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "RAYMOND",
        "middle_name": "OCONNELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "1834301",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "1834301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "240005927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.