=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760372783
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MICHAEL A. PARENTIS, MD - BUFFALO ORTHOPEDICS, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2025
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3085 SOUTHWESTERN BLVD STE 203
-----------------------------------------------------
City | ORCHARD PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14127-1233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-508-8252
-----------------------------------------------------
Fax | 716-508-8338
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3085 SOUTHWESTERN BLVD STE 203
-----------------------------------------------------
City | ORCHARD PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14127-1233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-508-8252
-----------------------------------------------------
Fax | 716-508-8338
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / ORTHOPEDIC SURGEON
-----------------------------------------------------
Name | DR. MICHAEL A. PARENTIS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 716-508-8252
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------