Omega Family Health Care, PA, P.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004883-1 Issued in NY

Legal business name

OMEGA FAMILY HEALTH CARE, PA, P.C.

Practice address

419 N 8TH St
Olean, NY 14760-2237

Phone

(716) 307-3156

NPI assigned

Nov 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James E Tkacik, PA-C

Title

President/Ceo

Phone

(716) 307-3156

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194134400000",
    "number": "1861672115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-307-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-307-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA FAMILY HEALTH CARE, PA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A",
        "authorized_official_last_name": "TKACIK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-307-3156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Olean, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; 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.