Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922096668 Individual Practitioner Male Practitioner

Dr. Gary Douglas , MD

Surgery • West Seneca, NY

Professional Overview & Biography Verified Profile Summary

Dr. Gary Douglas, MD is a registered healthcare professional specializing in Surgery in West Seneca, NY. Practice services are available at 1026 UNION RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1026 Union Rd

West Seneca, NY 142243449

Telephone 7167120858
Fax 7167120859
Associated Practice Facility / Clinic
🏢 Southgate Medical Group,llp Facility NPI 1487611927

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Seneca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
9 Specialists

Practicing in West Seneca, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 198135

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01545188 (NY)
Commercial Insurance / Payer ID Bc/bs
000523560007 (NY)
Commercial Insurance / Payer ID Fidelis
040426002829 (NY)
Commercial Insurance / Payer ID Preferred Care
148117FL (NY)
Commercial Insurance / Payer ID Univera
00010047904 (NY)
Commercial Insurance / Payer ID Iha
1709798 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Roche , DO

Family Medicine

NPI 1063459394

Doctor of Osteopathic Medicine (D.O.)

Barbara King , PA

Physician Assistant

NPI 1104802917

Physician Assistant

Corry Wierzbowski , RPA-C

Physician Assistant

NPI 1154327583

RPAC

NPI 1295908465

Registered Pharmacist

Sarah Rizvi , PA

Physician Assistant

NPI 1316175888

Physician Assistant

NPI 1326024779

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1026 UNION RD, WEST SENECA, NY 142243449 (Tel: 7167120858)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1026 UNION RD, WEST SENECA, NY 142243449 (Tel: 7167120858)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY DOUGLAS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #198135 in NY)

🟢
Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922096668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1026 Union Rd

West Seneca, NY 142243449

Phone: 7167120858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.