NPIMap

Individual provider Active NPI

Anthony O Bartholomew, MD

  • Internal Medicine Physician
  • Fredonia, NY
National Provider Identifier
1992771935
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
180842-01 Issued in NY
Practice address
12 Center St Ste 1
Fredonia, NY 14063-1769
Phone
(716) 679-2233
Fax
(716) 679-9698
NPI assigned
Feb 28, 2006
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 180842-01 NY Primary

Addresses

Primary practice location

12 Center St Ste 1
Fredonia, NY 14063-1769

Mailing address

12 Center St Ste 1
Fredonia, NY 14063-1769
Phone (716) 679-2233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.bartholomew@upmcdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000982 NY Practitioner - Internal Medicine 8729024799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

12 Ctr St
Suite 1
Fredonia, NY 14063-1769
Phone (716) 679-2233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions160
Removal of nail tissue39
Removal or shaving of skin growth105
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180842-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients

Locations

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 672-5420

12 Center St
Ste 4
Fredonia, NY 14063
Phone (716) 672-8790

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1992771935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER ST STE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233",
            "fax_number": "716-679-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER ST STE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233",
            "fax_number": "716-679-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "ANTHONY",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-01-25",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "180842-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.bartholomew@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.