Southwestern Medical Associates, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHWESTERN MEDICAL ASSOCIATES, LLP

Practice address

3675 Southwestern Blvd
Orchard Park, NY 14127-1732

Phone

(716) 972-0279

Fax

(716) 972-0273

NPI assigned

Apr 27, 2006

Last updated

Jul 27, 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

Gail Goodman, M.D.NPI 1568442465

Title

President

Phone

(716) 972-0279

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Gail R Goodman, M.D.

  • Pediatrics Physician
  • Orchard Park, NY
  • NPI 1568442465
  Authorized official Same address or phone
• Laura A Fitzpatrick, NP

  • Nurse Practitioner
  • Sagamore Hills, OH
  • NPI 1295839355
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406419200000",
    "number": "1942267455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279",
            "fax_number": "716-972-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279",
            "fax_number": "716-972-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-07-27",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-972-0279",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02379202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "4697890001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southtowns Surgery Center LLC
• Melissa Ann Spaeth, PA
• Emily Sarah Spalti, M.S.
• Abigail M Specht
• Leah Danielle Speciale, RN, BSN, FNP-BC
• Spine and Pain Physicians of Wny, PLLC

• Family Medicine Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.