Individual provider Active NPI

Charles Willard Everett, M.D.

  • Anesthesiology Physician
  • Williamsville, NY
National Provider Identifier
1144334079
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
185293-1 Issued in NY
Practice address
338 Harris Hill Rd
Suite 207
Williamsville, NY 14221-7407
Phone
(716) 634-4798
Fax
(716) 634-0987
NPI assigned
Aug 18, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 185293-1 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 1

IdentifierTypeStateIssuer
01744187MedicaidNY

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
I20110425000764 NY Practitioner - Anesthesiology 3971665514 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Medical Consultants, PLLCGroup PAC ID 0648179093, 25 clinicians

Practice addresses (Care Compare)

550 Orchard Park Rd
BLDG B
West Seneca, NY 14224-2646
Phone (716) 677-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185293-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesiology, PC CurrentSince Jul 15, 2020 Accepting new patients
Anesthesiology Medical Consultants, PLLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Buffalo Surgery Center LLC CurrentSince Jul 17, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jul 20, 2020 Accepting new patients
Center for Ambulatory Surgery LLC CurrentSince May 1, 2026 Accepting new patients
University at Buffalo Otolaryngology, Inc. PastSince May 1, 2026 Accepting new patients

Locations

3921 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6520

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

60 Maple Rd
#2
Williamsville, NY 14221
Phone (716) 332-1000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1144334079",
    "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": {
        "last_name": "EVERETT",
        "first_name": "CHARLES",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185293-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01744187",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.