Stanley Walter Ambis, MD
Individual provider Active NPI Family Medicine Physician · Le Roy, NY
NPI 1285736066 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1285736066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A206094 (NY)
- Practice address
- 3 Tountas Ave
Suite 4
Le Roy, NY 14482-1368 - Phone
- (585) 768-6530
- Fax
- (585) 768-4593
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405000099 | NY | Practitioner - Family Practice | 6305020017 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A206094 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Memorial Medical Center | Current |
Accepting new patients | |
| United Memorial Medical Center | Family Medicine | Current |
Accepting new patients |
Locations
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
127 North St
Batavia, NY 14020
Phone (585) 267-7510
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
3 Tountas Ave
Ste 4
Le Roy, NY 14482
Phone (585) 768-4670
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | A206094 | NY | |
| Family Medicine Physician | 207Q00000X | A206094 | NY | Yes |
Addresses
Primary practice location
3 Tountas Ave
Suite 4
Le Roy, NY 14482-1368
Mailing address
3 Tountas Ave
Suite 4
Le Roy, NY 14482-1368
Phone (585) 768-6530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103474BF | Other | PREFERRED CARE | |
| 3391353 | Other | IHA | |
| P010206094 | Other | BCBS OF ROCHESTER | |
| 103474GB | Other | PREFERRED CARE ACUPUNCURE | |
| 00025084401 | Other | UNIVERA | |
| 5998829 | Other | GHI | |
| 5724679 | Other | AETNA | |
| 080144934 | Other | RAILROAD | |
| CC1766 | Other | PIN | |
| 040426004274 | Other | FIDELIS | |
| 1826038 | Other | FIRST HEALTH | |
| 005259021 | Other | BCBS OF WNY | |
| G36839 | Other | UPIN |
Other providers in Le Roy, NY
- Tania Aguilar
- Nuvera Alam
- Ankle and Foot Centers of Western New York
- Anthony J. Gugino DDS PC
- Attica Family Medicine, PLLC
- Kathleen Ann Barnard
- Catherine Rose Bater
All providers in Le Roy, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.