NPIMap

Individual provider Active NPI

Patricia J Danaher, M.D.

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1861439879
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226219 Issued in NY
Practice address
5949 Campbell Blvd
Lockport, NY 14094-9204
Phone
(716) 778-8627
Fax
(716) 778-8059
NPI assigned
May 31, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226219 NY Primary

Addresses

Primary practice location

5949 Campbell Blvd
Lockport, NY 14094-9204

Mailing address

5949 Campbell Blvd
Lockport, NY 14094-9204
Phone (716) 778-8627

Other identifiers 1

IdentifierTypeStateIssuer
02335371MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000213 NY Practitioner - Family Practice 8224002290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patricia J Danaher MD PCGroup PAC ID 0547305088, 2 clinicians

Practice addresses (Care Compare)

5949 Campbell Blvd
Lockport, NY 14094-9204
Phone (716) 778-8627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226219NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J. Danaher-Haag Family Medicine CurrentSince Jan 1, 1990 Accepting new patients
Ub Family Medicine, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Washington Hospital Past Accepting new patients

Locations

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

5949 Campbell Blvd
Lockport, NY 14094
Phone (716) 778-8627

Interoperability endpoints

  • Direct secure messaging: pdanaher@drdanahermdpc.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1861439879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 CAMPBELL BLVD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949204",
            "telephone_number": "716-778-8627",
            "fax_number": "716-778-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 CAMPBELL BLVD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949204",
            "telephone_number": "716-778-8627",
            "fax_number": "716-778-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAHER",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02335371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.