Individual provider Active NPI

Douglas G Bushell, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Williamsville, NY
National Provider Identifier
1619916236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3983 Issued in AZ
Practice address
6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834
Phone
(716) 204-4500
Fax
(716) 204-4500
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3983 AZ Primary

Addresses

Primary practice location

6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834

Mailing address

2532 Monarch Bay Dr
Las Vegas, NV 89128-6883
Phone (702) 328-7235

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
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1128NVMDOccupational Therapy Assistant
3983AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients
Coyote Creek Emergency Physicians Emergency Medicine Past Accepting new patients
Hualapai Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients
Nopah Vista Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Exigence Arizona LLC Emergency Medical Services Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine Past Accepting new patients

Organizations & group practices 10

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619916236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MONARCH BAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286883",
            "telephone_number": "702-328-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 SHERIDAN DR",
            "address_2": "SUITE 212",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214834",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHELL",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "3983",
            "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 Jul 8, 2007; 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.