Omega II, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

161469 Issued in NY

Legal business name

OMEGA II, LLC

Practice address

419 N 8TH St
Olean, NY 14760-2237

Phone

(716) 379-8113

Fax

(716) 379-8115

NPI assigned

Apr 18, 2008

Last updated

Apr 18, 2008By 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

Mr. James E Tkacik

Title

Ceo

Phone

(716) 379-8113

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1700050804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-379-8113",
            "fax_number": "716-379-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-379-8113",
            "fax_number": "716-379-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "TKACIK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-379-8113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161469",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004883-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olean Podiatry,P.C.
• Olean Primary Medical Care PLLC
• Olean Radiology, PC
• Olean-Bradford Area YMCA
• Omega Family Health Care, PA, P.C.
• Orthodontists Associates of Western New York, PC
• Ruth D Palmquist, LMHC
• Mary Paluch, RN
• Gina Palumbo
• Mary E Palumbo, LCSW

• Internal Medicine Physician in Olean, NY
• Providers in Olean, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.