MEDICARE: UNIVERSITY ORTHOPAEDIC SERVICES INC.

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

General Provider Information

NPI Number	:	1710581384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY ORTHOPAEDIC SERVICES INC.

Provider Business Mailing Address
First Line	:	4225 GENESEE ST STE 400
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1994
Country	:	US
Telephone Number	:	716-204-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WASHINGTON ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-3023
Country	:	US
Telephone Number	:	716-204-3200
Fax Number	:	716-204-4337

Authorized Official
Title or Position	:	CFO
Name	:	MICHAEL ROGERS
Credential	:
Telephone Number	:	716-474-0662

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

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