SOUTHWESTERN MEDICAL ASSOCIATES, LLP - NPI 1942267455 - Family Medicine in Orchard Park, NY

Q: What is Southwestern Medical Associates, LLP's NPI number?

The NPI number for Southwestern Medical Associates, LLP is 1942267455. It was assigned to this organization in the NPPES registry on April 27, 2006.

Q: What is Southwestern Medical Associates, LLP's specialty?

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

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About Southwestern Medical Associates, Llp NPPES

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

SOUTHWESTERN MEDICAL ASSOCIATES, LLP (NPI 1942267455) is a healthcare organization registered as a family medicine in Orchard Park, New York and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Gail Goodman, President, as its authorized official.

NPPES Registry Identity

NPI1942267455

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHWESTERN MEDICAL ASSOCIATES, LLP

Location Address3675 SOUTHWESTERN BLVDOrchard Park, NY 14127-1732

Mailing Address3675 Southwestern BlvdOrchard Park, NY 14127-1732 · (716) 972-0279 · Fax (716) 972-0273

Phone(716) 972-0279

Fax(716) 972-0273

Organization SubpartNo

Authorized OfficialGail GoodmanPresident · (716) 972-0279

Enumeration DateApril 27, 2006

Last NPPES UpdateJuly 27, 2014

✔ NPI 1942267455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

3675 SOUTHWESTERN BLVD, Orchard Park, NY 14127

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Other Identifiers 4

Other4697890001Dme Medicare

Medicare PINCK6353NY

Medicaid02379202NY

Medicare PINAA1441NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 33D0169432

General Physician PC · Orchard Park, NY

Active · expires Aug 12, 2026

CLIA Number33D0169432

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorDr. Richard E. Charles

Laboratory Phone(716) 972-0279

Laboratory LocationGeneral Physician PC3045 Southwestern Blvd Suite 108, Orchard Park, NY 14127

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

BETSEY DECHERT-BOSS NP

Nurse Practitioner (Family)