Pediatric and Adolescent Urgent Care of the Southtowns, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PEDIATRIC AND ADOLESCENT URGENT CARE OF THE SOUTHTOWNS, PLLC

Practice address

1800 Maple Rd
Williamsville, NY 14221-2749

Phone

(716) 636-5437

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Lillis, MD

Title

Medical Director

Phone

(716) 636-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrea Marie Overturf, NP

  • Pediatric Nurse Practitioner
  • Williamsville, NY
  • NPI 1811209695
  NPD (past)
• Madison Winkler, LPN

  • Licensed Practical Nurse
  • Orchard Park, NY
  • NPI 1790551117
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1669887121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT URGENT CARE OF THE SOUTHTOWNS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "LILLIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "716-636-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejhier Payton, LPN
• Rachel Pearl
• Pearle Vision Inc
• Kenneth D Pearsen, MD
• Pediatric & Adolescent Urgent Care
• Pediatric and Adolescent Urgent Care of Western New York
• Pediatric and Adolescent Urgent Care of Western New York
• Pediatric Dental Associates PLLC
• Pediatric Dental Care, P.C.
• Pediatric Home Nursing Services, Inc.

• Urgent Care Clinic/Center in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.