Active NPI
Podiatry Solutions of Wny PLLC
- Podiatrist
- Lockport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 005864
- Legal business name
- PODIATRY SOLUTIONS OF WNY PLLC
- Practice address
- 6000 Brockton Dr
Suite 102
Lockport, NY 14094-9273 - Phone
- (716) 434-6601
- Fax
- (716) 434-1096
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason T White, DPM
- Title
- Owner
- Phone
- (716) 434-6601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 005864 | NY | Primary |
Addresses
Primary practice location
6000 Brockton Dr
Suite 102
Lockport, NY 14094-9273
Mailing address
6000 Brockton Dr
Suite 102
Lockport, NY 14094-9273
Phone (716) 434-6601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052696002 | Other | NY | BLUE CROSS |
| 02344012 | Medicaid | NY | |
| 0026080003 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot Surgery Podiatrist
- Williamsville, NY
- NPI 1588782635
O20070411000456
National Provider Directory
National Provider DirectoryLocations
6000 Brockton Dr
Ste 102
Lockport, NY 14094
Phone (716) 434-6601
6040 Edward Ave
Newfane, NY 14108
Phone (716) 434-6601
15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Williamsville, NY
- NPI 1376640540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1215050463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 BROCKTON DR",
"address_2": "SUITE 102",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949273",
"telephone_number": "716-434-6601",
"fax_number": "716-434-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 BROCKTON DR",
"address_2": "SUITE 102",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949273",
"telephone_number": "716-434-6601",
"fax_number": "716-434-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY SOLUTIONS OF WNY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-434-6601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "005864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0052696002",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02344012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0026080003",
"state": "NY"
}
],
"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 Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.