Southtowns Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHTOWNS FAMILY PRACTICE PC

Practice address

3040 Amsdell Rd
Hamburg, NY 14075-5835

Phone

(716) 646-6700

Fax

(716) 646-8515

NPI assigned

Nov 4, 2010

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig K Maclean, DONPI 1588667893

Title

President

Phone

(716) 432-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 10

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.

• Craig K Maclean, DO

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1588667893
  Medicare reassignment Care Compare group Authorized official
• Brandon Michael Fyock, DO

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1780047241
  Medicare reassignment Care Compare group NPD
• Sean William Maclean, D.O.

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1336584820
  Medicare reassignment Care Compare group NPD
• Bridget A Vaccaro, FNP-BC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1932417334
  Medicare reassignment Care Compare group NPD
• Jonathan Joseph Weber, DO

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1093394579
  Medicare reassignment Care Compare group NPD
• Gabrielle Grimaldi, PA

  • Physician Assistant
  • Hamburg, NY
  • NPI 1295224731
  Medicare reassignment Care Compare group
• Lori Christiano

  • Family Nurse Practitioner
  • Hamburg, NY
  • NPI 1629268909
  Medicare reassignment NPD
• Thomas Francis Hughes, MD

  • Family Medicine Physician
  • East Amherst, NY
  • NPI 1518928290
  Medicare reassignment NPD
• Ashley Iten, ANP, MS, RN, BSN

  • Adult Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1770904195
  Medicare reassignment NPD
• Kristin M Webb, PA

  • Physician Assistant
  • Williamsville, NY
  • NPI 1780692046
  Medicare reassignment

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1588965743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-646-6700",
            "fax_number": "716-646-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-646-6700",
            "fax_number": "716-646-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-432-7760",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03299805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Raye Sobaszek
• Michael Sobotka
• Mark Dennis Sokolowski, D.C.
• South Towns Wellness LCSW PLLC
• Southtowns Acupuncture PLLC (Southtowns Acupuncture)
• Southtowns Mental Health Counseling PC
• Southtowns Radiology Associates, LLC
• Southtowns Radiology Associates, LLC
• Stephanie Sova, PT, DPT
• Julia Spencer

• Family Medicine Physician in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.