Tarik Elibol, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

102346-1 Issued in NY

Legal business name

TARIK ELIBOL, MD

Practice address

2949 Elmwood Ave
Ste 202
Kenmore, NY 14217-1356

Phone

(716) 876-4033

Fax

(716) 873-3085

NPI assigned

Jan 19, 2014

Last updated

Jan 19, 2014By 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. Tarik Elibol, M.D.

Title

Owner

Phone

(716) 876-4033

Specialties & licenses 1

Addresses

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.

• Sadashiv Sarvotham Shenoy, M.D.

  • Vascular & Interventional Radiology Physician
  • Kenmore, NY
  • NPI 1285686733
  NPD (past)
• Karen Jeannine Stowell, ANP

  • Adult Health Nurse Practitioner
  • Kenmore, NY
  • NPI 1285688564
  NPD (past)

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

{
    "created_epoch": "1390089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390089600000",
    "number": "1912329368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVE",
            "address_2": "STE 202",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171356",
            "telephone_number": "716-876-4033",
            "fax_number": "716-873-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVE",
            "address_2": "STE 202",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171356",
            "telephone_number": "716-876-4033",
            "fax_number": "716-873-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIK ELIBOL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-19",
        "last_updated": "2014-01-19",
        "status": "A",
        "authorized_official_last_name": "ELIBOL",
        "authorized_official_first_name": "TARIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-876-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "102346-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane J Sutter, MD
• Richard C Swenson
• Sherman J Symes
• Ashley E Szpara, DPT
• Elena Tansley, PT, DPT
• Heidi Christine Tate
• Young H Tato, P.A.
• Allyson Teator
• Victoria Rose Telecky, DPT
• Joseph Pereira Terreri, PHARMD

• Internal Medicine Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2014; 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.