Niagara Medicine, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NIAGARA MEDICINE, PC

Practice address

5300 Military Rd
Lewiston, NY 14092-1903

Phone

(716) 651-0911

NPI assigned

Jun 1, 2016

Organization subpart

Yes

Parent organization

NIAGARA MEDICINE, PCAs reported in NPPES

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

Authorized official

Name

Mr. Gary Tucker

Title

Authorized Official

Phone

(716) 601-3766

Specialties & licenses 1

Addresses

Part of

Niagara Medicine PC

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1467800227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-651-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIAGARA MEDICINE, PC",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "716-601-3766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Jean Neiswonger, ANP
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• Niagara Frontier Radiologic Associates PC
• Niagara Labmasters, Inc.
• Niagara Medicine PC
• Niagara Neurological Services and Sleep Medicine PLLC (Niagara Neurology)
• Niagara Physical Therapy PC
• Nicholas F Zornek PC
• Ryan Terrence O'Laughlin, PHARMD
• Olp SNF Opco LLC (Our Lady of Peace Nursing Care Residence)

• Surgery Physician in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.