National Provider Identifier
Rurik Johnson
Rurik Johnson is listed in the NPPES registry with a primary specialty of Surgery Physician in West Seneca, NY and a listed phone number of (716) 677-5500.
Profile Overview
- NPI
- 1760495824
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- August 13, 2006
- Last Updated
- December 03, 2009
Practice Location
- 550 Orchard Park RD
- A103
- West Seneca, NY 14224-2646
Phone: (716) 677-5500
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1760495824
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Rurik
- Name Prefix
- Dr.
- Mailing Street Address
- 550 Orchard Park RD
- Mailing Address Line 2
- A103
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2646
- Mailing Country
- US
- Mailing Phone
- (716) 677-5500
- Mailing Fax
- (716) 677-5008
- Practice Street Address
- 550 Orchard Park RD
- Practice Address Line 2
- A103
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2646
- Practice Country
- US
- Practice Phone
- (716) 677-5500
- Practice Fax
- (716) 677-5008
- Enumeration Date
- August 13, 2006
- Last Updated
- December 03, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 00028110301 (Univera), 0156830 (Ghi Ppo), 000529158001 (Bc/Bs), P00474579 (NY, Rrm), 229457-7W (NY, Workers Compensation), 02877796 (NY), 1714218 (Independent Health)