National Provider Identifier
David Baskerville
David Baskerville is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 218-1000.
Profile Overview
- NPI
- 1952142366
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 03, 2024
- Last Updated
- July 24, 2024
Practice Location
- 40 George Karl Blvd
- Williamsville, NY 14221-7183
Phone: (716) 218-1000
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1952142366
- Entity Type
- Individual
- Last Name
- Baskerville
- First Name
- David
- Mailing Street Address
- 40 George Karl Blvd
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7183
- Mailing Country
- US
- Mailing Phone
- (716) 218-1000
- Practice Street Address
- 40 George Karl Blvd
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7183
- Practice Country
- US
- Practice Phone
- (716) 218-1000
- Enumeration Date
- June 03, 2024
- Last Updated
- July 24, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)