National Provider Identifier
Jack Route, DPM
Jack Route, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Williamsville, NY and a listed phone number of (716) 630-1295.
Profile Overview
- NPI
- 1326400664
- Provider Type
- Individual
- Primary Specialty
- Foot & Ankle Surgery Podiatrist
- Enumeration Date
- March 25, 2016
- Last Updated
- September 27, 2023
Practice Location
- 6325 Main St Ste 200
- Williamsville, NY 14221-5617
Phone: (716) 630-1295
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Foot & Ankle Surgery Podiatrist (213ES0103X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- jroute292459@direct.ghs.myhfn.org
Direct Messaging Address | Direct | Other | Greenville, SC 29615
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo, NY 14214
Full Record
- NPI
- 1326400664
- Entity Type
- Individual
- Last Name
- Route
- First Name
- Jack
- Credential
- DPM
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1769
- Practice Street Address
- 6325 Main St Ste 200
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5617
- Practice Country
- US
- Practice Phone
- (716) 630-1295
- Practice Fax
- (716) 250-5999
- Enumeration Date
- March 25, 2016
- Last Updated
- September 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot & Ankle Surgery Podiatrist (213ES0103X), Student in an Organized Health Care Education/Training Program (390200000X)