Provider Demographics
NPI:1992776934
Name:WESTENBERGER HEYWOOD, JANET B (DO)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:B
Last Name:WESTENBERGER HEYWOOD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:BETH
Other - Last Name:WESTENBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:41 MIDDLEBURY RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3963
Mailing Address - Country:US
Mailing Address - Phone:716-667-1230
Mailing Address - Fax:716-662-9236
Practice Address - Street 1:3875 N BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1839
Practice Address - Country:US
Practice Address - Phone:716-662-9336
Practice Address - Fax:716-662-9236
Is Sole Proprietor?:No
Enumeration Date:2006-01-29
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01246602Medicaid
NYCC8624Medicare ID - Type Unspecified
NY01246602Medicaid