Active NPI
Cardiology Group of Wny
- Cardiovascular Disease Physician
- Orchard Park, NY
National Provider Identifier
1386803690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOLOGY GROUP OF WNY
- Practice address
- 310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500 - Phone
- (716) 677-6800
- Fax
- (716) 677-6804
- NPI assigned
- Jun 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelia W Hill, CPC
- Title
- Billing Manager/CPC
- Phone
- (716) 634-3502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Mailing address
825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01456019 | Medicaid | NY |
Other names 1
- Coumadin Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1386803690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WEHRLE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217717",
"telephone_number": "716-634-3502",
"fax_number": "716-634-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 STERLING DR",
"address_2": "SUITE 100",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271500",
"telephone_number": "716-677-6800",
"fax_number": "716-677-6804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY GROUP OF WNY",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "SHELIA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BILLING MANAGER/CPC",
"authorized_official_telephone_number": "716-634-3502",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01456019",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Coumadin Clinic",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.