Individual provider Active NPI

Timothy C Knight, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1699700534
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005895-1 Issued in NY
Practice address
565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039
Phone
(518) 383-5450
Fax
(518) 383-4223
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005895-1 NY Primary

Addresses

Primary practice location

565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039

Mailing address

52 Brookedge Rd
Depew, NY 14043-4203
Phone (716) 668-4906

Other identifiers 1

IdentifierTypeStateIssuer
02341422MedicaidNY

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005895-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exigence Hospitalist Medical Services of Erie County, PLLC Past Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients
Albany Emergency Medicine Associates, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: timothy_knight@yourcarecommunity.org

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699700534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BROOKEDGE RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434203",
            "telephone_number": "716-668-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "address_2": "@ MERCY HOSPITAL OF BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "518-383-5450",
            "fax_number": "518-383-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005895-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02341422",
            "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 Jul 9, 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.