Organization Active NPI

Frederick J Piwko MD PC

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1124157383
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREDERICK J PIWKO MD PC
Practice address
3976 Lockport Olcott Rd
Suite C
Lockport, NY 14094-1133
Phone
(716) 439-4248
Fax
(716) 439-4838
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Frederick J Piwko, M.D.
Title
M.D.
Phone
(716) 439-4248

Specialties & licenses 1

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

Addresses

Primary practice location

3976 Lockport Olcott Rd
Suite C
Lockport, NY 14094-1133

Mailing address

3976 Lockport Olcott Rd
Suite C
Lockport, NY 14094-1133
Phone (716) 439-4248

National Provider Directory

National Provider Directory

Locations

3976 Lockport Olcott Rd
Ste C
Lockport, NY 14094
Phone (716) 439-4248

3805 Lockport Olcott Rd
Lockport, NY 14094
Phone (716) 439-4248

Practitioners & affiliated clinicians

Practitioners 7

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1124157383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 LOCKPORT OLCOTT RD",
            "address_2": "SUITE C",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941133",
            "telephone_number": "716-439-4248",
            "fax_number": "716-439-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 LOCKPORT OLCOTT RD",
            "address_2": "SUITE C",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941133",
            "telephone_number": "716-439-4248",
            "fax_number": "716-439-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK J PIWKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "PIWKO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "716-439-4248",
        "authorized_official_credential": "M.D."
    },
    "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 Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.