Active NPI
David Baskerville
- Medical Physician Assistant
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 032085
- Practice address
- 40 George Karl Blvd
Williamsville, NY 14221-7183 - Phone
- (716) 218-1000
- NPI assigned
- Jun 3, 2024
- Last updated
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 032085 | NY | Primary |
Addresses
Primary practice location
40 George Karl Blvd
Williamsville, NY 14221-7183
Mailing address
40 George Karl Blvd
Williamsville, NY 14221-7183
Phone (716) 218-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032085 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Neurosurgery, Inc. | Single Specialty | Current | Accepting new patients |
| Eastern Great Lakes Pathology PC | Single Specialty | Current | Accepting new patients |
| Sisters of Charity Hospital of Buffalo, New York | Single Specialty | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
40 George Karl Blvd
Williamsville, NY 14221
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Williamsville, NY
- NPI 1306896220
Single Specialty
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
Single Specialty
-
dba Sisters OB GYN Services
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1952142366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 GEORGE KARL BLVD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217183",
"telephone_number": "716-218-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 GEORGE KARL BLVD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217183",
"telephone_number": "716-218-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKERVILLE",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "032085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.