Organization Active NPI

Thomas V Smallman, MD, PLLC

  • Orthopaedic Surgery Physician
  • Liverpool, NY
National Provider Identifier
1811460744
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THOMAS V SMALLMAN, MD, PLLC
Practice address
5100 W Taft Rd Ste 2R
Liverpool, NY 13088-4841
Phone
(315) 457-4400
Fax
(315) 457-3400
NPI assigned
Jan 3, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Dr. Thomas V Smallman, MDNPI 1174528145
Title
President
Phone
(315) 415-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

5100 W Taft Rd Ste 2R
Liverpool, NY 13088-4841

Mailing address

3 Chestnut Cir
Skaneateles, NY 13152-1301
Phone (315) 415-0612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190903000485 NY Part B Supplier - Clinic/Group Practice 5496084329 Receives reassigned benefits from 1 practitioner
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

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": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1811460744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHESTNUT CIR",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521301",
            "telephone_number": "315-415-0612",
            "fax_number": "315-554-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 2R",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884841",
            "telephone_number": "315-457-4400",
            "fax_number": "315-457-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS V SMALLMAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "SMALLMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-415-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.