Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Charles Stube

Individual provider Orthopaedic Surgery Physician · NPI 1053377325

Keith Charles Stube is an Orthopedic Surgery in Williamsville, New York. Qualified in 1988, 38 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

180 Park Club Ln Ste 225
Williamsville, NY 14221-5260
Phone: (716) 839-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3712 Southwestern Blvd, Orchard Park, NY 14127-1720 — (716) 839-5858

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 200037 (NY)

Record details

NPI number1053377325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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