Lancaster Primary Care Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LANCASTER PRIMARY CARE MEDICAL PLLC

Practice address

5007 Transit Rd
Depew, NY 14043-4617

Phone

(716) 650-5516

Fax

(716) 650-5515

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

John C Radford, MDNPI 1114900909

Title

Owner

Phone

(716) 699-9032

Specialties & licenses 1

Addresses

Other names 1

• Five Star Family Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Radford, M.D.

  • Emergency Medicine Physician
  • St. Marys, PA
  • NPI 1114900909
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1831593268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310248",
            "telephone_number": "716-699-9032",
            "fax_number": "716-699-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-650-5516",
            "fax_number": "716-650-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PRIMARY CARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-699-9032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Kunkes Kunkes, DDS
• Kathryn Teresa Kwiatkowski, DPT
• Brooke Elizabeth Lakso, FNP
• Shonika C Lamar, LPN
• Lancaster Depew Cheektowaga Physical Therapy,PC
• Lancaster Radiology PC
• Bruce M Lance
• Jill Anne Lang, LICENSED MASSAGE THE
• Michael A Larosa, P.T.
• Lauren Laugeman

• Family Medicine Physician in Depew, NY
• Providers in Depew, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.