Sheri Baczkowski M.D, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

195456-1 Issued in NY

Legal business name

SHERI BACZKOWSKI M.D, LLC

Practice address

8270Wehrle Drive
Williamsville, NY 14221-7325

Phone

(716) 631-8212

Fax

(716) 631-8710

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Katja I Wingo

Title

Billing

Phone

(716) 631-8212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1154644698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217325",
            "telephone_number": "716-631-8212",
            "fax_number": "716-631-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270WEHRLE DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217325",
            "telephone_number": "716-631-8212",
            "fax_number": "716-631-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERI BACZKOWSKI M.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "KATJA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "716-631-8212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "195456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.