NPIMap

Individual provider Active NPI

Allyn Michael Norman, D.O.

  • Internal Medicine Physician
  • Williamsville, NY
National Provider Identifier
1568420925
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153492 Issued in NY
Practice address
1000 Youngs Rd Ste 101
Williamsville, NY 14221-2644
Phone
(716) 204-4532
NPI assigned
May 3, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 153492 NY Primary

Addresses

Primary practice location

1000 Youngs Rd Ste 101
Williamsville, NY 14221-2644

Mailing address

1000 Youngs Rd Ste 101
Williamsville, NY 14221-2644
Phone (716) 204-4532

Other identifiers 1

IdentifierTypeStateIssuer
008944931MedicaidNY

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
I20040507000667 NY Practitioner - General PracticePractitioner - Internal Medicine 2668461468 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Dec 3, 2018 Accepting new patients
Allyn M. Norman Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

1000 Youngs Rd
Ste 101
Williamsville, NY 14221
Phone (716) 204-4532

111 N Maplemere Rd
Ste 200
Williamsville, NY 14221
Phone (716) 626-2644

1825 Maple Rd
Ste 100
Williamsville, NY 14221
Phone (716) 204-4532

1825 Maple Rd
Ste Llb
Williamsville, NY 14221
Phone (716) 204-4532

Interoperability endpoints

  • Direct secure messaging: allynnorman@gppc.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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 11

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1568420925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 YOUNGS RD STE 101",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212644",
            "telephone_number": "716-204-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 YOUNGS RD STE 101",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212644",
            "telephone_number": "716-204-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "ALLYN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "153492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008944931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.