Active NPI
Polly Ann Thoman, IBCLC
- Durable Medical Equipment & Medical Supplies
- Lancaster, NY
National Provider Identifier
1225388374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- L-36606
- Practice address
- 231 Aurora St
Lancaster, NY 14086-2931 - Phone
- (716) 681-8100
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 10320587 | NY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | L-36606 | NY | Primary |
Addresses
Primary practice location
231 Aurora St
Lancaster, NY 14086-2931
Mailing address
231 Aurora St
Lancaster, NY 14086-2931
Phone (716) 681-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10320587 | NY | MD | Lactation Consultant (Non-RN) |
| L-36606 | NY | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1225388374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 AURORA ST",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862931",
"telephone_number": "716-681-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 AURORA ST",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862931",
"telephone_number": "716-681-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAN",
"first_name": "POLLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "10320587",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "L-36606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.