Niagara Urology Associates PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NIAGARA UROLOGY ASSOCIATES PC

Practice address

1 Colomba Dr
Suite 2
Niagara Falls, NY 14305-1205

Phone

(716) 285-3464

Fax

(716) 285-8520

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Chairat Butsunturn, MDNPI 1053499491

Title

President

Phone

(716) 285-3464

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Chairat Butsunturn, MD

  • Urology Physician
  • Niagara Falls, NY
  • NPI 1053499491
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1255419594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-285-3464",
            "fax_number": "716-285-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-285-3464",
            "fax_number": "716-285-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BUTSUNTURN",
        "authorized_official_first_name": "CHAIRAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-285-3464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GRP506680001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "009353099",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "0111170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "33D0681581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.