MEDICARE: TIMOTHY V MCGRATH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	236504	NY
2	207XS0106X	Orthopaedic Hand Surgery Physician	236504	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	236504	OTHER	NY	NEW YORK STATE WORKERS COMPENSATION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0912967	OTHER	NY	INDEPENDENT HEALTH
4	00027260801	OTHER	NY	UNIVERA
5	000528889001	OTHER	NY	BLUE CROSS AND BLUE SHIELD

General Provider Information

NPI Number	:	1659371862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY V MCGRATH M.D.

Provider Business Mailing Address
First Line	:	3 GATES CIR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14209-1120
Country	:	US
Telephone Number	:	716-887-4040
Fax Number	:	716-887-5090

Provider Business Practice Location Address
First Line	:	3925 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1738
Country	:	US
Telephone Number	:	716-250-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	02/15/2018

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