Wny Breast Med and Surg Care,PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

164393-1 Issued in NY

Legal business name

WNY BREAST MED AND SURG CARE,PC

Practice address

55 Southwick Dr
Orchard Park, NY 14127-1650

Phone

(716) 897-9177

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Ann Kelley, M.D.NPI 1871501353

Title

President

Phone

(716) 867-9177

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Ann Kelley, MD, R.PH

  • Surgery Physician
  • West Seneca, NY
  • NPI 1871501353
  NPD (past) Authorized official
• Michael C Moore, M.D.

  • Gastroenterology Physician
  • West Seneca, NY
  • NPI 1700957727
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1215115662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SOUTHWICK DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271650",
            "telephone_number": "716-897-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SOUTHWICK DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271650",
            "telephone_number": "716-897-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY BREAST MED AND SURG CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-867-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "164393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Winkler, LPN
• Paul Joseph Wirth
• Melissa M Wisniewski, NP
• Amy Lynn Wnek, M.D.
• Michelle Marie Wnek, MS, CASAC, NYCPS
• Wny Catholic Long Term Care, Inc. (Father Baker Manor)
• Wny Optical Shop Inc.
• Leanna Helena Wojchak
• Christina Wojciechowski, LCSW
• David A Wojtowicz, PT

• Specialist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.