Organization Active NPI

Thomas a. Hassenfratz DPM

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1073814729
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002071 Issued in NY
Legal business name
THOMAS A. HASSENFRATZ DPM
Practice address
380 Cleveland Dr
Buffalo, NY 14215-1922
Phone
(716) 836-7156
Fax
(716) 837-4112
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Thomas A Hassenfratz, DPM
Title
Owner
Phone
(716) 836-7156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002071 NY Primary

Addresses

Primary practice location

380 Cleveland Dr
Buffalo, NY 14215-1922

Mailing address

380 Cleveland Dr
Buffalo, NY 15215-1922
Phone (716) 836-7156

Other identifiers 3

IdentifierTypeStateIssuer
00603287MedicaidNY
480015008OtherRR MEDICARE
RA0314OtherMEDICARE PART B

National Provider Directory

National Provider Directory

Locations

380 Cleveland Dr
Buffalo, NY 14215
Phone (716) 712-0851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1073814729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CLEVELAND DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "152151922",
            "telephone_number": "716-836-7156",
            "fax_number": "716-837-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CLEVELAND DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151922",
            "telephone_number": "716-836-7156",
            "fax_number": "716-837-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. HASSENFRATZ DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HASSENFRATZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-836-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603287",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480015008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "RA0314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.