Individual provider Active NPI

Richard M Junke, M.D.

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1184621153
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
179475-9 Issued in NY
Practice address
438 High St
Lockport, NY 14094-4742
Phone
(716) 439-0193
Fax
(716) 438-3543
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 179475-9 NY Primary

Addresses

Primary practice location

438 High St
Lockport, NY 14094-4742

Mailing address

438 High St
Lockport, NY 14094-4742
Phone (716) 439-0193

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
I20050923000225 NY Practitioner - Family Practice 4183658818 Receives reassigned benefits from 1 practitioner
Practice locations: Lockport, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179475-9NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Junke MD Family Medicine PastSince Aug 1, 1991 Accepting new patients
Keystone Medical Services of New York, PC Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1184621153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 HIGH ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944742",
            "telephone_number": "716-439-0193",
            "fax_number": "716-438-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HIGH ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944742",
            "telephone_number": "716-439-0193",
            "fax_number": "716-438-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKE",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "179475-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.