Western New York DC, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

1401229R Issued in NY

Legal business name

WESTERN NEW YORK DC, LLC

Practice address

3801 Taylor Rd
Orchard Park, NY 14127-2232

Phone

(716) 209-7200

Fax

(716) 209-7206

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Herbert S Lawson

Title

Cfo

Phone

(303) 785-7521

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Orchard Park Dialysis Center Doing business as

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598830218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012838",
            "telephone_number": "303-785-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272232",
            "telephone_number": "716-209-7200",
            "fax_number": "716-209-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-785-7521"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "1401229R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000000378002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2V",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Park Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua E Weeks, PA
• Theresa Marie Wegman, MD
• Beth Mara Weiss, PNP
• Steven Daniel Weiss, MD
• Janet B. Westenberger Heywood, D.O.
• Western New York Ear, Nose & Throat, P.C.
• Western New York Immediate Medical Care LLC
• Western New York Pediatric Associates, LLP
• Guy M Whalen, M.D.
• Megan Wheeler

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.