Southtowns Medicine and Pediatrics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219856 Issued in NY

Legal business name

SOUTHTOWNS MEDICINE AND PEDIATRICS

Practice address

268 Main St
East Aurora, NY 14052-1637

Phone

(716) 652-8606

NPI assigned

Sep 26, 2008

Last updated

Jan 16, 2013By 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

Jill Jones

Title

Administrator

Phone

(716) 652-8606

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1750531620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521655",
            "telephone_number": "716-652-8606",
            "fax_number": "716-805-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521637",
            "telephone_number": "716-652-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-652-8606"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219856",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "219856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Linings Counseling LCSW PLLC
• Kathleen M Slammon, LCSWR
• Sleepwell Systems, LLC
• Isabella Smith, MT-BC
• Rachel E Smith, LAC
• Gregory Joseph Spiess, DC
• Julie L Stachura, AUD
• Anna Marie Stang, OTR
• Tamara Beth Stanier, LMT
• John A Sterba, M.D., PH.D.

• Internal Medicine Physician in East Aurora, NY
• Providers in East Aurora, 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 Jan 16, 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.