Individual provider Active NPI

Russell Clarence Talma, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1679558860
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007105 Issued in NY
Practice address
3495 Bailey Ave
VA Medical Center. Dept of Surgery
Buffalo, NY 14215-1129
Phone
(716) 862-8500
Fax
(716) 862-8600
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007105 NY Primary

Addresses

Primary practice location

3495 Bailey Ave
VA Medical Center. Dept of Surgery
Buffalo, NY 14215-1129

Mailing address

6698 Macintosh LN
N Tonawanda, NY 14120-9648
Phone (716) 210-3043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1679558860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6698 MACINTOSH LN",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141209648",
            "telephone_number": "716-210-3043",
            "fax_number": "716-862-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "address_2": "VA MEDICAL CENTER. DEPT OF SURGERY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-862-8500",
            "fax_number": "716-862-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMA",
        "first_name": "RUSSELL",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.