| David Michael Walborn, MD | |
|
893 Colvin Blvd, Kenmore, NY 14217-2423 | |
| (716) 873-4406 | |
| (716) 873-4420 |
| Full Name | David Michael Walborn |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 893 Colvin Blvd, Kenmore, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194827295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 183082 (New York) | Primary |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Entity Name | David M. Walborn MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508966912 PECOS PAC ID: 2860597440 Enrollment ID: O20070411000116 |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Walborn, MD 893 Colvin Blvd, Kenmore, NY 14217-2423 Ph: (716) 873-4406 | David Michael Walborn, MD 893 Colvin Blvd, Kenmore, NY 14217-2423 Ph: (716) 873-4406 |
Timothy R Rasmusson, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2914 Elmwood Ave, Kenmore, NY 14217 Phone: 716-204-9729 Fax: 716-204-9406 |
Dr. Bhavansa Padmanabha, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3407 Delaware Ave, Kenmore, NY 14217 Phone: 716-876-6170 Fax: 716-876-6170 |
Joseph Angelo Ralabate, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-447-6100 |