NPIMap

Organization Active NPI

Big Flats Family Medicine

  • Family Medicine Physician
  • Big Flats, NY
National Provider Identifier
1750460655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173351-1 Issued in NY
Legal business name
BIG FLATS FAMILY MEDICINE
Practice address
455 Maple St
Suite 1
Big Flats, NY 14814-9701
Phone
(607) 562-8901
Fax
(607) 562-7443
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas RodgersNPI 1528008596
Title
President
Phone
(607) 562-8901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 173351-1 NY Primary

Addresses

Primary practice location

455 Maple St
Suite 1
Big Flats, NY 14814-9701

Mailing address

455 Maple St
Suite 1
Big Flats, NY 14814-9701
Phone (607) 562-8901

Other identifiers 1

IdentifierTypeStateIssuer
01067990MedicaidNY

National Provider Directory

National Provider Directory

Locations

455 Maple St
Ste 1
Big Flats, NY 14814
Phone (607) 562-8901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750460655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MAPLE ST",
            "address_2": "SUITE 1",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-562-8901",
            "fax_number": "607-562-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAPLE ST",
            "address_2": "SUITE 1",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-562-8901",
            "fax_number": "607-562-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG FLATS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-562-8901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173351-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01067990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Flats, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.