Active NPI
Salvador M Udagawa MD PC
- Colon & Rectal Surgery Physician
- Buffalo, NY
National Provider Identifier
1699096289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 117941
- Legal business name
- SALVADOR M UDAGAWA MD PC
- Practice address
- 3404 Main St
Buffalo, NY 14214-1316 - Phone
- (716) 835-0641
- Fax
- (716) 835-3450
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Salvador M Udagawa, MD
- Title
- President
- Phone
- (716) 835-0641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 117941 | NY | Primary |
Addresses
Primary practice location
3404 Main St
Buffalo, NY 14214-1316
Mailing address
3404 Main St
Buffalo, NY 14214-1316
Phone (716) 835-0641
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010181001 | Other | NY | UNIVERA |
| 145044AO | Other | NY | PREFERRED CARE |
| 000506064001 | Other | NY | BLUE CROSS WNY |
| 1406021 | Other | NY | INDEPENDENT HEALTH |
National Provider Directory
National Provider DirectoryLocations
3404 Main St
Buffalo, NY 14214
Phone (716) 835-0066
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Buffalo, NY
- NPI 1720089568
-
- Chiropractor
- Buffalo, NY
- NPI 1669062824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1699096289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141316",
"telephone_number": "716-835-0641",
"fax_number": "716-835-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141316",
"telephone_number": "716-835-0641",
"fax_number": "716-835-3450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALVADOR M UDAGAWA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "UDAGAWA",
"authorized_official_first_name": "SALVADOR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-835-0641",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "117941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010181001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "145044AO",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "000506064001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1406021",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.