Organization Active NPI

Michael I. Hanzly DPM PC

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1356664627
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2793 Issued in NY
Legal business name
MICHAEL I. HANZLY DPM PC
Practice address
2267 Seneca St
Buffalo, NY 14210-2517
Phone
(716) 823-0049
Fax
(716) 823-3744
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Michael I Hanzly, D.P.M.
Title
President
Phone
(716) 823-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2793 NY Primary

Addresses

Primary practice location

2267 Seneca St
Buffalo, NY 14210-2517

Mailing address

2267 Seneca St
Buffalo, NY 14210-2517
Phone (716) 823-0049

Other identifiers 5

IdentifierTypeStateIssuer
00010251601OtherNYUNIVERA
U00029OtherNYUPIN
00507505005OtherNYBLUE CROSS/BLUE SHIELD
00669750MedicaidNY
8907425OtherNYINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1356664627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102517",
            "telephone_number": "716-823-0049",
            "fax_number": "716-823-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102517",
            "telephone_number": "716-823-0049",
            "fax_number": "716-823-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I. HANZLY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "HANZLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-823-0049",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010251601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U00029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00507505005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00669750",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8907425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.