Thomas E. Degrave, DO,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

173319 Issued in NY

Legal business name

THOMAS E. DEGRAVE, DO,LLC

Practice address

4040 Clinton St
West Seneca, NY 14224-1519

Phone

(716) 675-1928

Fax

(716) 662-5226

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By 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

Thomas Edward Degrave, D.O.NPI 1134187537

Title

Chief Operating Officer

Phone

(716) 675-1928

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Thomas Edward Degrave, D.O.

  • Family Medicine Physician
  • Orchard Park, NY
  • NPI 1134187537
  NPD (past) Authorized official
• Jessica Nicole O'Brien, RPA-C

  • Medical Physician Assistant
  • Amherst, NY
  • NPI 1891826467
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790816387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 CLINTON ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241519",
            "telephone_number": "716-675-1928",
            "fax_number": "716-662-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CLINTON ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241519",
            "telephone_number": "716-675-1928",
            "fax_number": "716-662-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. DEGRAVE, DO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGRAVE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "716-675-1928",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0105938",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000511109002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010043003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01789519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Massage Room LLC
• The McGuire Group
• The Nurse Practitioner in Family Health Practice
• Nicole Thie, LMT
• Thomas a Martin, DDS PC
• Rexford Lee Thomas Jr., M.D
• Autumn B Thompson, BT, NYCPS
• Janine Thompson
• Mary Ellen Thompson, RPH
• Mollie Elizabeth Thompson

• Family Medicine Physician in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Family Medicine Physician in New York

• 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.