Olivia Smith-Blackwell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

144179 Issued in NY

Practice address

601 Division St
North Tonawanda, NY 14120-4461

Phone

(716) 693-0118

Fax

(716) 693-4807

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Columbia University College of Physicians and Surgeons, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olivia Smith-Blackwell MD PCGroup PAC ID 0648220129, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaleida Health Hospital, Buffalo, NY, CCN 330005
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
• Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065
• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olivia Smith-Blackwell MD PC

  • Family Medicine Physician
  • North Tonawanda, NY
  • NPI 1609802867
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaleida Health

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1023075918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204461",
            "telephone_number": "716-693-0118",
            "fax_number": "716-693-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204461",
            "telephone_number": "716-693-0118",
            "fax_number": "716-693-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BLACKWELL",
        "first_name": "OLIVIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "144179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01754232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Singh, PT
• Patricia Lynn Siola
• Emily Sirface, DPT
• Katherine Sirianni, MSW
• Monica Smith Gottlieb
• Meghan Snopkowski
• Aimee Snyder
• Peter W Somerville Jr., RPH
• Sarah Elizabeth Sortisio
• Griffin Thomas Spatorico

• Family Medicine Physician in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.