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ORCHARD PARK FAMILY PRACTICE, PC
NPI 1811000979
Family Medicine in Orchard Park, NY

Active since August 15, 2006CLIA 33D0690304 · Waiver
3670 SOUTH BENZING RD, SUITE A, ORCHARD PARK, NY 14127(716) 662-5357(716) 662-2774 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Orchard Park Family Practice, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORCHARD PARK FAMILY PRACTICE, PC (NPI 1811000979) is a healthcare organization registered as a family medicine in Orchard Park, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Thomas Degrave, D.o. / President, as its authorized official.

NPPES Registry Identity

NPI1811000979
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameORCHARD PARK FAMILY PRACTICE, PC
Location Address3670 SOUTH BENZING RD, SUITE AOrchard Park, NY 14127
Mailing Address3670 South Benzing Rd, Suite AOrchard Park, NY 14127 · (716) 662-5357 · Fax (716) 662-2774
Phone(716) 662-5357
Fax(716) 662-2774
Organization SubpartNo
Authorized OfficialThomas DegraveD.o. / President · (716) 662-5357
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1811000979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
3670 SOUTH BENZING RD, Orchard Park, NY 14127
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Other Identifiers 1

Medicaid02780692NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0690304

Orchard Park Family Practice PC · Orchard Park, NY
Active · expires Mar 26, 2027
CLIA Number33D0690304
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Richard J. Ruh
Laboratory Phone(716) 662-5357
Laboratory LocationOrchard Park Family Practice PC3670 South Benzing Road, Suite A, Orchard Park, NY 14127
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALKA DARIA STACHIW M.D.
Otolaryngology
3670 SOUTH BENZING RD, SUITE C
ORCHARD PARK, NY 14127
Erie County (716) 675-5711
MS. JULIE A WALTERS RPA-C
Physician Assistant
3670 SOUTH BENZING RD, SUITE C
ORCHARD PARK, NY 14127
Erie County (716) 675-5711
DR. MICHAEL JOHN CIPOLLA M.D.
Otolaryngology
3670 SOUTH BENZING RD, SUITE C
ORCHARD PARK, NY 14127
Erie County (716) 675-5711
MRS. HEATHER ANDRZEJEWSKI RPA-C
Physician Assistant
3670 SOUTH BENZING RD, SUITE C
ORCHARD PARK, NY 14127
Erie County (716) 675-5711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orchard Park Family Practice, PC's NPI number?

The NPI number for Orchard Park Family Practice, PC is 1811000979. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Orchard Park Family Practice, PC located?

Orchard Park Family Practice, PC is located at 3670 South Benzing Rd Suite A, Orchard Park, NY 14127. The listed phone number is (716) 662-5357.

What is Orchard Park Family Practice, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Orchard Park Family Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0690304) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orchard Park Family Practice, PC was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.