Amherst Colon & Rectal Surgery, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

130603 Issued in NY

Legal business name

AMHERST COLON & RECTAL SURGERY, PLLC

Practice address

8201 Main St
Suite 8
Williamsville, NY 14221-6046

Phone

(716) 626-6626

Fax

(716) 626-6646

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fred E Boehmke, MDNPI 1689639643

Title

Sole Member

Phone

(716) 626-6626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Edward Boehmke, M.D.

  • Colon & Rectal Surgery Physician
  • Williamsville, NY
  • NPI 1689639643
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1649407131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 8",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-626-6626",
            "fax_number": "716-626-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 8",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-626-6626",
            "fax_number": "716-626-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHERST COLON & RECTAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "BOEHMKE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-626-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "130603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amherst Chiropractic PC
• Amherst Imaging Solutions, PLLC
• Amherst Neurologic Associates
• Amherst Pediatric Associates, P.C.
• Amherst Pediatric Associates, P.C.
• Renata Anand, M.D.

• Surgery Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.