NPIMap

Individual provider Active NPI

Catherine Tota-Thurn, D.O.

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1417987694
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212504 Issued in NY
Practice address
30 N Union Rd
Williamsville, NY 14221-5367
Phone
(716) 839-8000
NPI assigned
Jul 4, 2006
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 212504 NY Primary

Addresses

Primary practice location

30 N Union Rd
Williamsville, NY 14221-5367

Mailing address

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 839-8000

Other identifiers 3

IdentifierTypeStateIssuer
00020530802OtherNYUNIVERA PROVIDER ID
0110749OtherNYIHA PROVIDER ID
000525654002OtherNYBLUECROSS BLUESHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000643 NY Practitioner - Family Practice 8628099363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 839-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212504NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Western New York LLP Family Medicine CurrentSince Apr 29, 2002 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients

Locations

2780 Delaware Ave
Ste 201
Kenmore, NY 14217
Phone (716) 839-8000

2350 Maple Rd
Ste 100
Williamsville, NY 14221
Phone (716) 688-6500

30 N Union Rd
Williamsville, NY 14221
Phone (716) 633-6363

30 N Union Rd
Ste 102
Williamsville, NY 14221
Phone (716) 839-8000

Interoperability endpoints

  • Direct secure messaging: catherinet@primarycarewny.medentdirect.com

Organizations & group practices 2

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.

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1417987694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTA-THURN",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER ID",
            "identifier": "00020530802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA PROVIDER ID",
            "identifier": "0110749",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID",
            "identifier": "000525654002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.