Active NPI
Jennifer George Walsh MD PC
- Internal Medicine Physician
- Williamsville, NY
National Provider Identifier
1538418694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 217709
- Legal business name
- JENNIFER GEORGE WALSH MD PC
- Practice address
- 1540 Maple Rd
Williamsville, NY 14221-3647 - Phone
- (716) 568-3600
- NPI assigned
- Sep 5, 2012
- Last updated
- Sep 5, 2012
- 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
- Jennifer George Walsh, M.D.
- Title
- Owner
- Phone
- (716) 695-0907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217709 | NY | Primary |
Addresses
Primary practice location
1540 Maple Rd
Williamsville, NY 14221-3647
Mailing address
639 E Goundry St
North Tonawanda, NY 14120-5620
Phone (716) 695-0907
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1538418694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 E GOUNDRY ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141205620",
"telephone_number": "716-695-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 MAPLE RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213647",
"telephone_number": "716-568-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER GEORGE WALSH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-695-0907",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "217709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.