Individual provider Active NPI

Nora Meaney-Elman, MD

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1891880902
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1676321 Issued in NY
Practice address
8171 Sheridan Dr
Ste 600
Williamsville, NY 14221-6002
Phone
(716) 839-7107
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1676321 NY Primary

Addresses

Primary practice location

8171 Sheridan Dr
Ste 600
Williamsville, NY 14221-6002

Mailing address

8171 Sheridan Dr
Ste 600
Williamsville, NY 14221-6002
Phone (716) 839-7107

Other identifiers 2

IdentifierTypeStateIssuer
0103760OtherNYINDEPENDENT HEALTH
000510390001OtherNYBLUE CROSS WNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000480 NY Practitioner - Family Practice 4385670926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1676321NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a Odonnell DO PLLC Family Medicine CurrentSince Jan 26, 2022 Accepting new patients

Locations

8171 Sheridan Dr
#600
Williamsville, NY 14221
Phone (716) 839-7107

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1891880902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 SHERIDAN DR",
            "address_2": "STE 600",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-839-7107",
            "fax_number": "716-839-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 SHERIDAN DR",
            "address_2": "STE 600",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-839-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANEY-ELMAN",
        "first_name": "NORA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1676321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0103760",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WNY",
            "identifier": "000510390001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.