Individual provider Active NPI

Julie A. Thomas, D.O.

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1114168499
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2624481 Issued in NY
Practice address
3670 S Benzing Rd
Orchard Park, NY 14127-1705
Phone
(716) 662-5357
Fax
(716) 662-2774
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2624481 NY Primary

Addresses

Primary practice location

3670 S Benzing Rd
Orchard Park, NY 14127-1705

Mailing address

3670 S Benzing Rd
Orchard Park, NY 14127-1705
Phone (716) 662-5357

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120622000139 NY Practitioner - Family Practice 1254596364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Park Family Practice, PCGroup PAC ID 7517937261, 14 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite a
Orchard Park, NY 14127-1741
Phone (716) 662-5357

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2624481NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Park Family Practice, PC Family Medicine CurrentSince Jun 4, 2012 Accepting new patients

Locations

3670 S Benzing Rd
Ste A
Orchard Park, NY 14127
Phone (716) 631-0380

3680 Eggert Rd
Orchard Park, NY 14127
Phone 7166262644204

Interoperability endpoints

  • Direct secure messaging: drjuliethomas@opfp.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1114168499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S BENZING RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271705",
            "telephone_number": "716-662-5357",
            "fax_number": "716-662-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S BENZING RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271705",
            "telephone_number": "716-662-5357",
            "fax_number": "716-662-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JULIE",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2624481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.