Individual provider Active NPI

David B Smalling, RPA

  • Physician Assistant
  • Jamestown, NY
National Provider Identifier
1114987625
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009394 Issued in NY
Practice address
117 Foote Ave
Suite 100
Jamestown, NY 14701-6947
Phone
(716) 338-9200
Fax
(716) 338-9250
NPI assigned
Mar 27, 2006
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009394 NY
Urology Physician 208800000X 009394 NY
Physician Assistant 363A00000X 009394 NY Primary
Family Nurse Practitioner 363LF0000X 009394 NY

Addresses

Primary practice location

117 Foote Ave
Suite 100
Jamestown, NY 14701-6947

Mailing address

117 Foote Ave
Suite 100
Jamestown, NY 14701-6947
Phone (716) 338-9200

Other identifiers 7

IdentifierTypeStateIssuer
117209FZOtherPREFERRED CARE
9512418OtherINDEPENDENT HEALTH
P019009394OtherBLUE CHOICE
000570446003OtherCOMMUNITY BLUE
02504727MedicaidNY
P00387380OtherNYRAILROAD MEDICARE
00026702202OtherUNIVERA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318001096 NY Practitioner - Physician Assistant 8921998329 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009394NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician, PC Urology CurrentSince Sep 27, 2021 Accepting new patients
Auburn Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Ny Urgent Care Practice, P.C. Past Accepting new patients
Southtowns Internal Medicine PC PastSince Jun 16, 2014 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 844-5000

117 Foote Ave
Ste 100
Jamestown, NY 14701
Phone (716) 338-9200

500 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-2273

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: dsmalling@wnymedical.medentdirect.com

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1114987625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOOTE AVE",
            "address_2": "SUITE 100",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016947",
            "telephone_number": "716-338-9200",
            "fax_number": "716-338-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOOTE AVE",
            "address_2": "SUITE 100",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016947",
            "telephone_number": "716-338-9200",
            "fax_number": "716-338-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLING",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009394",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "009394",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009394",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "009394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "117209FZ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512418",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P019009394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000570446003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02504727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00387380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026702202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.