David M. Walborn MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DAVID M. WALBORN MD PC

Practice address

445 Tremont St
North Tonawanda, NY 14120-6150

Phone

(716) 873-4406

Fax

(716) 873-4420

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

David Michael Walborn, MDNPI 1194827295

Title

Owner

Phone

(716) 873-4406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• David Michael Walborn, MD

  • Surgery Physician
  • Kenmore, NY
  • NPI 1194827295
  Medicare reassignment Authorized official
• William H Stephan, MD

  • Family Medicine Physician
  • Tonawanda, NY
  • NPI 1952370173
  NPD (past)
• Margaret S White, NP

  • Nurse Practitioner
  • Tonawanda, NY
  • NPI 1346219573
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1508966912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 COLVIN BLVD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172423",
            "telephone_number": "716-873-4406",
            "fax_number": "716-873-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 TREMONT ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206150",
            "telephone_number": "716-873-4406",
            "fax_number": "716-873-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. WALBORN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "WALBORN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-873-4406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Wade Danat Jr., PT, DPT
• Daniel Craigie
• Tracy M Dargan, RN
• Kelly Anne Darlak, PHARM.D, BCPS
• Dave Pacana Chiropractic PC
• Katharine Davis, REGISTERED NURSE
• Felicia Sue Dawes, LMT
• Madison Gertrude Deering
• Rebeca Michelle Dena, PT
• Dennis G. Winiecki

• General Practice Physician in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.