Organization Active NPI

MFHS Physicians' Emergency Services, PC

  • Emergency Medicine Physician
  • Williamsville, NY
National Provider Identifier
1780630194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MFHS PHYSICIANS' EMERGENCY SERVICES, PC
Practice address
1540 Maple Rd
ER
Williamsville, NY 14221-3647
Phone
(716) 568-6550
Fax
(716) 564-1134
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Richard Pundt, MDNPI 1982650578
Title
C.E.O
Phone
(716) 691-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1540 Maple Rd
ER
Williamsville, NY 14221-3647

Mailing address

305 Cayuga Rd
Suite 190
Cheektowaga, NY 14225-1980
Phone (716) 691-8838

Other identifiers 4

IdentifierTypeStateIssuer
01618542MedicaidNY
00011220501OtherNYUNIVERA
CC5203OtherNYRAILROAD MEDICARE
000506009005OtherNYBC BS OF WNY

National Provider Directory

National Provider Directory

Locations

495 Commerce Dr
Ste 6
Amherst, NY 14228

305 Cayuga Rd
Ste 190
Cheektowaga, NY 14225
Phone (716) 580-1813

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780630194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAYUGA RD",
            "address_2": "SUITE 190",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251980",
            "telephone_number": "716-691-8838",
            "fax_number": "716-564-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "address_2": "ER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213647",
            "telephone_number": "716-568-6550",
            "fax_number": "716-564-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFHS PHYSICIANS' EMERGENCY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "716-691-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01618542",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011220501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC5203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF WNY",
            "identifier": "000506009005",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.