Breast Care of Western New York L.L.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

188498 Issued in NY

Legal business name

BREAST CARE OF WESTERN NEW YORK L.L.C.

Practice address

199 Park Club LN
Suite 100
Williamsville, NY 14221-5269

Phone

(716) 332-6834

Fax

(716) 332-6853

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Ronald L. Bauer, MD

Title

Ceo

Phone

(716) 332-6834

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Andrea M. Bauer, N.P.

  • Adult Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1821095878
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1851497564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-332-6834",
            "fax_number": "716-332-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-332-6834",
            "fax_number": "716-332-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE OF WESTERN NEW YORK L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-332-6834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "159170",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "188498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Brant, LPN
• Harbind Singh Brar, MD
• Michael James Brath, PT
• Susan Carol Braun-Svorai, OTR
• Marissa Braun, LMFT
• Ashley Teresa Breau
• Amanda Ingersoll Breedlove, PT, DPT
• Crystal Breier, FNP
• Brenna Fox Pmhnp-BC, LLC
• Brenna Fox Pmhnp-LLC

• Surgery Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.