Active NPI
Richard M Junke, M.D.
- Family Medicine Physician
- Lockport, NY
National Provider Identifier
1184621153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 179475-9
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179475-9 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard M Junke MD | Family Medicine | Past | 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.
-
- Physician Assistant
- Lockport, NY
- NPI 1295733921
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.
-
- Family Medicine Physician
- Lockport, NY
- NPI 1801210612
-
- Emergency Medicine Physician
- Springville, NY
- NPI 1952331761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.