Kathleen Dyson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

209548-1 Issued in NY

Practice address

3725 N Buffalo St
Suite a
Orchard Park, NY 14127-1853

Phone

(716) 662-2300

Fax

(716) 662-2057

NPI assigned

Jun 1, 2006

Last updated

Apr 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kathleendysonmd@orchardparkpediatrics.medentdirect.com

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1356388029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209548-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02273274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Dudek, MAT
• Margaret Ellen Dudziak, BSW
• Carissa Laura Dulchinos, MHC
• Shannon Dunn, LMSW CASAC
• Alexis M Dwyer
• Mary Joan Dziadaszek, OTR/L
• Teresa Eagan, PT
• East Amherst Physical Therapy, PC
• Nichol A Eaton-Wolkiewicz, PSYD
• Mark Peter Eberhard, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.