Individual provider Active NPI

Sarah Evan Mathis, DO

  • Family Medicine Physician
  • Amherst, NY
National Provider Identifier
1639618341
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
302856 Issued in NY
Practice address
3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741
Phone
(716) 309-4772
Fax
(716) 427-6333
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 302856 NY Primary

Addresses

Primary practice location

3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741

Mailing address

3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741

Other practice location 1

355 Wagner Ave
Buffalo, NY 14212-2159
Phone (716) 816-6369

Other practice location 2

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080
Phone (716) 297-1860

Other identifiers 1

IdentifierTypeStateIssuer
302856OtherNYLICENSE

Other names 1

  • Dr. Sarah Evan Frys Mathis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710001712 NY Practitioner - Family Practice 9436572328 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

3980A Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 309-4772

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

705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1639618341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR STE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR STE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-309-4772",
            "fax_number": "716-427-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Wagner Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142122159",
            "country_code": "US",
            "telephone_number": "716-816-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6934 Williams Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143043080",
            "country_code": "US",
            "telephone_number": "716-297-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "SARAH",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "302856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "302856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FRYS MATHIS",
            "middle_name": "EVAN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.