Organization Active NPI

Wheatfield Family Medicine, LLC

  • Family Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1770627622
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHEATFIELD FAMILY MEDICINE, LLC
Practice address
3799 Commerce CT
Suite 100
North Tonawanda, NY 14120-2024
Phone
(716) 693-5463
Fax
(716) 693-6370
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Chad E Szymanski, D.O.
Title
Physician
Phone
(716) 693-5463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3799 Commerce CT
Suite 100
North Tonawanda, NY 14120-2024

Mailing address

3799 Commerce CT
Suite 100
North Tonawanda, NY 14120-2024
Phone (716) 693-5463

Other identifiers 1

IdentifierTypeStateIssuer
02396665MedicaidNY

National Provider Directory

National Provider Directory

Locations

3799 Commerce Ct
Ste 100
North Tonawanda, NY 14120
Phone (716) 693-5463

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1770627622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT",
            "address_2": "SUITE 100",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202024",
            "telephone_number": "716-693-5463",
            "fax_number": "716-693-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT",
            "address_2": "SUITE 100",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202024",
            "telephone_number": "716-693-5463",
            "fax_number": "716-693-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATFIELD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-693-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02396665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.