Pediatric & Adolescent Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

F340754-1 Issued in NY

Legal business name

PEDIATRIC & ADOLESCENT URGENT CARE

Practice address

1800 Maple Rd
Williamsville, NY 14221-2749

Phone

(716) 636-5437

Fax

(716) 636-5439

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Kathleen Lillis, MD

Title

Owner

Phone

(716) 636-5437

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pediatric and Adolescent Urgent Care of Western New York3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric and Adolescent Urgent Care of Western New York

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Williamsville, NY
  • NPI 1710297171
  NPD tax ID
• Pediatric and Adolescent Urgent Care of Western New York

  • Urgent Care Clinic/Center
  • Williamsville, NY
  • NPI 1922300516
  NPD tax ID

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1821536244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437",
            "fax_number": "716-636-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437",
            "fax_number": "716-636-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LILLIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-636-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "F340754-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Payne, NP
• Dejhier Payton, LPN
• Rachel Pearl
• Pearle Vision Inc
• Kenneth D Pearsen, MD
• Pediatric and Adolescent Urgent Care of the Southtowns, PLLC
• Pediatric and Adolescent Urgent Care of Western New York
• Pediatric and Adolescent Urgent Care of Western New York
• Pediatric Dental Associates PLLC
• Pediatric Dental Care, P.C.

• Urgent Care Clinic/Center in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.