NPIMap

Individual provider Active NPI

Evelyn E Thompson, PA-S

  • Physician Assistant
  • Depew, NY
National Provider Identifier
1750130142
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
031959-01 Issued in NY
Practice address
4893 Transit Rd
Depew, NY 14043-4698
Phone
(716) 608-7040
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 031959-01 NY Primary

Addresses

Primary practice location

4893 Transit Rd
Depew, NY 14043-4698

Mailing address

726 Exchange St Ste 710
Buffalo, NY 14210-1464
Phone (716) 852-4772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828000453 NY Practitioner - Physician Assistant 9335688977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Harpreet Dhiman, D.O., PLLCGroup PAC ID 4082145727, 2 clinicians

Practice addresses (Care Compare)

550 Orchard Park Rd
Suite A104
West Seneca, NY 14224-2654
Phone (716) 639-1382

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
031959NYMDPharmacist
031959-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Nov 17, 2024 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 12, 2024 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Dr. Harpreet Dhiman, D.O., PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

726 Exchange St
Ste 710
Buffalo, NY 14210
Phone (716) 343-3016

734 Davison Rd
Lockport, NY 14094
Phone (716) 433-1977

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888

Interoperability endpoints

  • Direct secure messaging: ethompson@gppc.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1750130142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 710",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101464",
            "telephone_number": "716-852-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434698",
            "telephone_number": "716-608-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EVELYN",
        "middle_name": "E",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031959-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.