Active NPI
Anthony Douglas Galvano, PA-C
- Physician Assistant
- Orchard Park, NY
National Provider Identifier
1568822245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019502-1
- Practice address
- 3900 N Buffalo St
Orchard Park, NY 14127-1842 - Phone
- (716) 930-9556
- NPI assigned
- Feb 24, 2016
- Last updated
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019502-1 | NY | Primary |
Addresses
Primary practice location
3900 N Buffalo St
Orchard Park, NY 14127-1842
Mailing address
Buffalo Medical Group, Suite 108
Williamsville, NY 14221
Phone (716) 630-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04407723 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019502-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenmore Mercy Hospital | Past | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kenmore Specialty Center
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1083655492
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1568822245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUFFALO MEDICAL GROUP, SUITE 108",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271842",
"telephone_number": "716-930-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVANO",
"first_name": "ANTHONY",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-24",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019502-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04407723",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.