Organization Active NPI

South Towns Surgical Associates P.C.

  • Surgery Physician
  • Orchard Park, NY
National Provider Identifier
1306894522
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
170358 Issued in NY
Legal business name
SOUTH TOWNS SURGICAL ASSOCIATES P.C.
Practice address
310 Sterling Drive
Suite 105
Orchard Park, NY 14127
Phone
(716) 675-7730
Fax
(716) 675-7735
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Mr. Daniel J. Patterson, D.O.
Title
Owner/Physician
Phone
(716) 675-7730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 170358 NY Primary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X

Addresses

Primary practice location

310 Sterling Drive
Suite 105
Orchard Park, NY 14127

Mailing address

310 Sterling Drive Suite 105
South Towns Surgical Associates, P.C.
Orchard Park, NY 14127
Phone (716) 675-7730

Other identifiers 1

IdentifierTypeStateIssuer
JXXMedicaidNY

National Provider Directory

National Provider Directory

Locations

310 Sterling Dr
Ste 105
Orchard Park, NY 14127
Phone (716) 675-7730

1000 Youngs Rd
Ste 105
Williamsville, NY 14221
Phone (716) 204-5993

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1306894522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STERLING DRIVE SUITE 105",
            "address_2": "SOUTH TOWNS SURGICAL ASSOCIATES, P.C.",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-7730",
            "fax_number": "716-675-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DRIVE",
            "address_2": "SUITE 105",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-7730",
            "fax_number": "716-675-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TOWNS SURGICAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "716-675-7730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "170358",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JXX",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.