Organization Active NPI

Mary Ann Bishara MD PC

  • Anesthesiology Physician
  • Lewiston, NY
National Provider Identifier
1376862896
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
84509 Issued in NY
Legal business name
MARY ANN BISHARA MD PC
Practice address
5290 Military Rd Ste 6
Lewiston, NY 14092-1953
Phone
(716) 297-2998
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Brenda K Sobchak
Title
Secretary
Phone
(716) 297-2998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 84509 NY Primary

Addresses

Primary practice location

5290 Military Rd Ste 6
Lewiston, NY 14092-1953

Mailing address

5290 Military Rd Ste 6
Lewiston, NY 14092-1953
Phone (716) 297-2998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1376862896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD STE 6",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921953",
            "telephone_number": "716-297-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD STE 6",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921953",
            "telephone_number": "716-297-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN BISHARA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "SOBCHAK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "716-297-2998"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "84509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.