David P Kowalski MD Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204975 Issued in NY

Legal business name

DAVID P KOWALSKI MD FAMILY PRACTICE PLLC

Practice address

3065 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1239

Phone

(716) 677-3065

Fax

(716) 677-3065

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David P Kowalski, MDNPI 1881699312

Title

Owner

Phone

(716) 677-3065

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• David P Kowalski, MD

  • Family Medicine Physician
  • Orchard Park, NY
  • NPI 1881699312
  Medicare reassignment Care Compare group NPD Authorized official
• Laura B Ridge, RPA-C

  • Medical Physician Assistant
  • Orchard Park, NY
  • NPI 1104821008
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1235134149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-677-3065",
            "fax_number": "716-677-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-677-3065",
            "fax_number": "716-677-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P KOWALSKI MD FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-677-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204975",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Daley, M.ED
• Sara Kate Dann, PA
• David Avino, MD PC
• David C. O'Neil, MD PHD, PC
• David M. Fisher M.D. P.C.
• David Pula MD PC
• David S Bevilacqua MD PC
• Dree Nicole Davis, LMSW
• Colleen Dawson
• DC Family Eye Care

• Family Medicine Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.