Individual provider Active NPI

Ewen M. Macpherson, MD

  • Child & Adolescent Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1205961257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
1900211 Issued in NY
Practice address
3350 Main St
Buffalo, NY 14214-1316
Phone
(716) 835-4011
Fax
(716) 835-0253
NPI assigned
Feb 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 1900211 NY Primary

Addresses

Primary practice location

3350 Main St
Buffalo, NY 14214-1316

Mailing address

3350 Main St
Buffalo, NY 14214-1316
Phone (716) 835-4011

Other identifiers 1

IdentifierTypeStateIssuer
00357855MedicaidNY

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
I20091119000365 NY Practitioner - Psychiatry 7012055692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

10714 N Rd
Perrysburg, NY 14129-9746
Phone (716) 532-1049

1200 E and W Rd
BLDG 16
West Seneca, NY 14224-3604
Phone (716) 517-2000

12234 Route 39
Perrysburg, NY 14129-9712
Phone (716) 532-1268

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1900211NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office PastSince Oct 16, 2009 Accepting new patients

Locations

44 Holland Ave
Albany, NY 12208
Phone (518) 473-8234

44 Holland Ave
Fl 4
Albany, NY 12208

44 Holland Ave
Fl 5
Albany, NY 12208
Phone (518) 402-4337

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205961257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141316",
            "telephone_number": "716-835-4011",
            "fax_number": "716-835-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141316",
            "telephone_number": "716-835-4011",
            "fax_number": "716-835-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACPHERSON",
        "first_name": "EWEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "1900211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.