Individual provider Active NPI

Carolyn Doyle IV

  • Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1598720815
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333830 Issued in NY
Practice address
1208 Niagara Falls Blvd
Tonawanda, NY 14150-8924
Phone
(716) 833-2200
Fax
(716) 332-0797
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333830 NY Primary

Addresses

Primary practice location

1208 Niagara Falls Blvd
Tonawanda, NY 14150-8924

Mailing address

701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone (716) 995-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214001018 NY Practitioner - Nurse Practitioner 6002095593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F333830NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Apr 24, 2025 Accepting new patients
General Physician, PC CurrentSince Jul 8, 2024 Accepting new patients
University Emergency Medical Services Inc. CurrentSince Nov 15, 2011 Accepting new patients
Mobile Primary Care Family Nurse Practitioners, PLLC CurrentSince Oct 15, 2015 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Family Care Medicine PC PastSince Dec 1, 1997 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3916 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 366-1215

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

100 Ohio St
Ste C
Medina, NY 14103
Phone (585) 589-1322

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

1208 Niagara Falls Blvd
Tonawanda, NY 14150
Phone (716) 833-2200

1430 Colvin Blvd
Tonawanda, NY 14223
Phone (716) 874-4060

Interoperability endpoints

  • Direct secure messaging: cdoyle@landmarkhealth-direct.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1598720815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 NIAGARA FALLS BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508924",
            "telephone_number": "716-833-2200",
            "fax_number": "716-332-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CAROLYN",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.