Axis Neurosurgery and Spine of Wny PLLC – Specialist

Key facts

NPI: 1124443569
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: 243525-1 (MD)
Legal business name: AXIS NEUROSURGERY AND SPINE OF WNY PLLC
Practice address: 19 Limestone Dr
Suite: 11
Williamsville, NY 14221-7091
Phone: (716) 634-3500
Fax: (716) 634-3525
NPI assigned: Feb 21, 2014
Organization subpart: No

Authorized official

Name: Dr. Ryan P Denhaese, M.D. NPI 1356563381
Title: Neurosurgeon
Phone: (716) 634-3500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 6

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

Ryan Peter Denhaese, M.D. Neurological Surgery Physician · Williamsville, NY · NPI 1356563381

Medicare reassignment Care Compare group NPD Authorized official NY
Katelyn M Myka Physician Assistant · Williamsville, NY · NPI 1467137364

Medicare reassignment Care Compare group NPD NY
Joseph M Beang, RPAC Physician Assistant · Williamsville, NY · NPI 1942487335

Medicare reassignment Care Compare group NY
Peter John Todoro, PA Physician Assistant · Williamsville, NY · NPI 1427683028

Medicare reassignment Care Compare group NY
Amber L Phillippi Physician Assistant · Williamsville, NY · NPI 1215491600

Medicare reassignment NY
Michael Tworkowski, PA Physician Assistant · Amherst, NY · NPI 1174939425

Medicare reassignment NY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20141121001102	NY	Part B Supplier - Clinic/Group Practice	5890917181	Receives reassigned benefits from 6 practitioners Practice locations: Fredonia, NY; Williamsville, NY; Olean, NY

National Provider Directory

Locations

585 Main St
Olean, NY 14760
Phone (716) 634-3500

535 Main St
Ste 2
Olean, NY 14760
Phone (716) 634-3500

19 Limestone Dr
Ste 11
Williamsville, NY 14221
Phone (716) 634-3500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X	243525-1	MD	Yes

Addresses

Primary practice location

19 Limestone Dr
Suite: 11
Williamsville, NY 14221-7091

Mailing address

6415 Landstone Dr
Clarence Center, NY 14032-9403
Phone (716) 634-3500

Other providers in Williamsville, NY

Brandis Austin, RN
Janelle Rachel Auyang, PA-C
Avalon Centers, Inc.
Avp Primary Care Adult Health Nurse Practitioner, PLLC
Steven Awner, MD
Catherine Ayers
Sarah Patricia Ayers, P.A.
Lori Ayrault, LPN
B Weinstein MD PC
B&C United Home Care LLC

All providers in Williamsville, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.