National Provider Identifier
Jorden Tyler Komm, M.D.
Jorden Tyler Komm, M.D. is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician in Amherst, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1427444686
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Family Medicine) Physician
- Enumeration Date
- April 14, 2015
- Last Updated
- March 17, 2022
Practice Location
- 4949 Harlem RD
- Amherst, NY 14226-2500
Phone: (716) 204-3200
Mailing Address
- 100 High St
- Buffalo, NY 14203-1126
Specialties
- Sports Medicine (Family Medicine) Physician (207QS0010X)
- Emergency Medicine Physician (207P00000X)
- Sports Medicine (Internal Medicine) Physician (207RS0010X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1427444686
- Entity Type
- Individual
- Last Name
- Komm
- First Name
- Jorden
- Middle Name
- Tyler
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 100 High St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1126
- Mailing Country
- US
- Practice Street Address
- 4949 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2500
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Practice Fax
- (716) 204-4337
- Enumeration Date
- April 14, 2015
- Last Updated
- March 17, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Family Medicine) Physician (207QS0010X), Emergency Medicine Physician (207P00000X), Sports Medicine (Internal Medicine) Physician (207RS0010X), Student in an Organized Health Care Education/Training Program (390200000X)