Olivia Smith-Blackwell MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLIVIA SMITH-BLACKWELL MD PC

Practice address

533 Meadow Dr
#2
North Tonawanda, NY 14120-2835

Phone

(716) 693-4600

Fax

(716) 693-4807

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Olivia Smith-Blackwell, MDNPI 1023075918

Title

Owner

Phone

(716) 693-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEADOW FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Smith-Blackwell, MD

  • Family Medicine Physician
  • North Tonawanda, NY
  • NPI 1023075918
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth M Zak, NP

  • Specialist
  • North Tonawanda, NY
  • NPI 1730146655
  Medicare reassignment Care Compare group NPD
• Mary C Haney, NP

  • Family Nurse Practitioner
  • Niagara Falls, NY
  • NPI 1083670293
  NPD (past)
• Trudy Stern, NP

  • Adult Health Nurse Practitioner
  • N Tonawanda, NY
  • NPI 1386782639
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1609802867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-332-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MEADOW DR",
            "address_2": "#2",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202835",
            "telephone_number": "716-693-4600",
            "fax_number": "716-693-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA SMITH-BLACKWELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-BLACKWELL",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-693-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02632800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOW FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Novotny, DC
• Nysarc Niagara County Chapter
• Nysarc, Inc. Cattaraugus-Niagara County Chapter
• Jessica Lynn O'Hern, M.A. CCC/SLP
• Christine Elizabeth Oliveri, RPA-C
• Olivia Onishchenko, REGISTERED NURSE
• Richard R. Orlowski, PHARMD.
• Colleen Marie Osborn, RN
• David James Pacana, DC
• Eileen Anne Pacana, P.T, L.M.T.

• Family Medicine Physician in North Tonawanda, NY
• Providers in North Tonawanda, 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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.