Active NPI
Knee Center of Wny
- Orthopaedic Surgery Physician
- Williamsville, NY
National Provider Identifier
1790742260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- KNEE CENTER OF WNY
- Practice address
- 180 Park Club LN
Suite 225
Williamsville, NY 14221-5263 - Phone
- (716) 839-5858
- Fax
- (716) 839-5925
- NPI assigned
- Apr 28, 2006
- 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
- Keith C Stube, MD
- Title
- Owner
- Phone
- (716) 839-5858
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
180 Park Club LN
Suite 225
Williamsville, NY 14221-5263
Mailing address
180 Park Club LN
Suite 225
Williamsville, NY 14221-5263
Phone (716) 839-5858
Other names 1
- Keith C Stube MD PC
National Provider Directory
National Provider DirectoryLocations
100 Corporate Pkwy
Ste 112
Amherst, NY 14226
Phone (716) 839-5858
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Williamsville, NY
- NPI 1053377325
-
- Physical Therapist
- Depew, NY
- NPI 1346530219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1790742260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARK CLUB LN",
"address_2": "SUITE 225",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215263",
"telephone_number": "716-839-5858",
"fax_number": "716-839-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARK CLUB LN",
"address_2": "SUITE 225",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215263",
"telephone_number": "716-839-5858",
"fax_number": "716-839-5925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEE CENTER OF WNY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "STUBE",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-839-5858",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Keith C Stube MD PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Dec 11, 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.