Olean Primary Medical Care PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

251105 Issued in NY

Legal business name

OLEAN PRIMARY MEDICAL CARE PLLC

Practice address

2626 W State St
Suite 202
Olean, NY 14760-1858

Phone

(716) 908-9397

NPI assigned

Jun 9, 2011

Last updated

Jan 22, 2017By 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

Dr. Thayaparan Mathanakaran, M.D.NPI 1891734430

Title

Partner/Physician

Phone

(716) 908-9397

Specialties & licenses 1

Addresses

Locations

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.

• Thayaparan Mathanakaran, M.D

  • Adult Medicine Physician
  • Olean, NY
  • NPI 1891734430
  Authorized official Same address or phone

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485043200000",
    "number": "1851686679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147060214",
            "telephone_number": "716-908-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "address_2": "SUITE 202",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-908-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN PRIMARY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2017-01-22",
        "status": "A",
        "authorized_official_last_name": "MATHANAKARAN",
        "authorized_official_first_name": "THAYAPARAN",
        "authorized_official_title_or_position": "PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "716-908-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "251105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Omega II, LLC
• Orthodontists Associates of Western New York, PC

• Adult Medicine Physician in Olean, NY
• Providers in Olean, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.