Active NPI
Andrew W. Danyluk MD PC
- Ophthalmology Physician
- Pittsfield, MA
National Provider Identifier
1780887513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 79169
- Legal business name
- ANDREW W. DANYLUK MD PC
- Practice address
- 777 North St
3Rd Floor
Pittsfield, MA 01201-4147 - Phone
- (413) 499-6405
- Fax
- (413) 442-7118
- NPI assigned
- Jun 8, 2007
- 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
- Dr. Andrew W Danyluk, MD
- Title
- Owner
- Phone
- (413) 499-6405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 79169 | MA | Primary |
Addresses
Primary practice location
777 North St
3Rd Floor
Pittsfield, MA 01201-4147
Mailing address
PO Box 1490
Lanesboro, MA 01237-1490
Phone (413) 499-6405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9702831 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Williamstown, MA
- NPI 1003816695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1780887513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1490",
"city": "LANESBORO",
"state": "MA",
"postal_code": "012371490",
"telephone_number": "413-499-6405",
"fax_number": "413-442-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"address_2": "3RD FLOOR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-499-6405",
"fax_number": "413-442-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW W. DANYLUK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2009-04-22",
"status": "A",
"authorized_official_last_name": "DANYLUK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-499-6405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MA",
"license": "79169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9702831",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.