THOMAS C SMALL (NPI# 1497728737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497728737 |
| Entity Type | Individual |
| Full Name | THOMAS C SMALL |
| Credential | MD |
| Practice Address |
2821 Wehrle Dr Suite 1 Williamsville NY 14221-7386 |
| Practice Telephone | 7166264878 |
| Practice Fax Number | 7166267609 |
| Mailing Telephone | 7166264878 |
| Mailing Fax Number | 7166267609 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A1493801 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A149380 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDEPENDENT HEALTH INS | 0408004 | 01 | |
| NY | BC WNY | 0050859908 | 01 |
| NY | 00738138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275568792 | Thomas Arthur Small | Physician Assistant | 132 Laceleaf Ln, Cibolo, TX 78108-3153 | 2006-07-12 |
| 1720083082 | Thomas James Small | Specialist | 1101 W Jefferson St, Ste H, Franklin, IN 46131-2184 | 2005-06-14 |
| 1215002647 | Thomas Gimbel Small | Dentist | 3700 Westown Parkway, West Des Moines, IA 50266 | 2006-11-21 |
| Street Address |
2821 WEHRLE DR SUITE 1 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457670622 | Heidi Joan Will | Massage Therapist | 2821 Wehrle Dr, Suite 1-2, Williamsville, NY 14221-7386 | 2010-05-26 |
| 1720013469 | Denise M Akin | Social Worker | 2821 Wehrle Dr, Suite 8b, Williamsville, NY 14221-7386 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272510 | Richter Medical PC | Internal Medicine | 1 Appaloosa Ln, Millbrook, NY 12545-6051 | 2020-10-13 |
| 1205493533 | Bct Medical Services PC | Internal Medicine | 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 | 2019-05-22 |
| 1568965309 | Lloyd E. Zimmerman | Internal Medicine | 205 E 95th St Apt 18b, New York, NY 10128-0237 | 2018-03-16 |
| 1962893560 | Maple Med Group LLC | Internal Medicine | 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 | 2015-02-18 |
| 1467897058 | Komal Amin | Internal Medicine | 25 Fairfield Way Apt 1, Commack, NY 11725-3414 | 2013-05-08 |
| 1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
| 1982976999 | Express Medical Care, P.c | Internal Medicine | .357 Broadway, Suite 2c, Amityville, NY 11701 | 2012-02-07 |
| 1952610701 | Annemarie Bonawitz-dodi | Internal Medicine | 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 | 2010-09-28 |
| 1558561985 | Jack Resnik | Internal Medicine | 480 Genesee Street, Rochester, NY 14611 | 2007-07-24 |
| 1114132701 | Joshua David Lee | Internal Medicine | 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on THOMAS C SMALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.