ORCHARD PARK FAMILY PRACTICE, PC – NPI #1811000979
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ORCHARD PARK FAMILY PRACTICE, PC is a provider located in ORCHARD PARK, NY. NPPES has assigned the NPI number 1811000979 to ORCHARD PARK FAMILY PRACTICE, PC on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Aug 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORCHARD PARK FAMILY PRACTICE, PC below.

NPI Profile for
ORCHARD PARK FAMILY PRACTICE, PC

NPI Number
1811000979
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORCHARD PARK FAMILY PRACTICE, PC
Primary location
3670 SOUTH BENZING RD
SUITE A
ORCHARD PARK, NY 14127
Phone: (716) 662-5357 Fax: (716) 662-2774
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS DEGRAVE
D.O. / PRESIDENT
Phone: (716) 662-5357
Updated
Certification Date
Aug 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ORCHARD PARK FAMILY PRACTICE, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02780692
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.