Organization Active NPI

Genesis Medical Anesthesia, PC

  • Anesthesiology Physician
  • Williamsville, NY
National Provider Identifier
1144321977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
165509-1 Issued in NY
Legal business name
GENESIS MEDICAL ANESTHESIA, PC
Practice address
338 Harris Hill Rd
Suite 207
Williamsville, NY 14221-7407
Phone
(716) 634-4798
Fax
(716) 634-0987
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Cesar, M.D.
Title
President
Phone
(716) 634-4798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 165509-1 NY Primary

Addresses

Primary practice location

338 Harris Hill Rd
Suite 207
Williamsville, NY 14221-7407

Mailing address

338 Harris Hill Rd
Suite 207
Williamsville, NY 14221-7407
Phone (716) 634-4798

Other identifiers 3

IdentifierTypeStateIssuer
01007616MedicaidNY
2003934OtherNYINDEPENDENT HEALTH
000506372005OtherNYBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144321977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE 207",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217407",
            "telephone_number": "716-634-4798",
            "fax_number": "716-634-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE 207",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217407",
            "telephone_number": "716-634-4798",
            "fax_number": "716-634-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CESAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-634-4798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "165509-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01007616",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2003934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000506372005",
            "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 Aug 22, 2020; 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.