| Tmo Medical, Pc | |
|
4515 Military Rd Niagara Falls NY 14305-1335 | |
| (716) 236-7880 | |
| (716) 236-7885 |
| Full Name | Tmo Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4515 Military Rd, Niagara Falls, New York |
| Authorized Official Name and Position | Todd M Orszulak (PRESIDENT/OWNER) |
| Authorized Official Contact | 7162367880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmo Medical, Pc 4515 Military Rd Niagara Falls NY 14305-1335 Ph: (716) 236-7880 | Tmo Medical, Pc 4515 Military Rd Niagara Falls NY 14305-1335 Ph: (716) 236-7880 |
| NPI Number | 1407081045 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 08/11/2009 |
| Medicare PECOS PAC ID | 9436209533 |
|---|---|
| Medicare Enrollment ID | O20090611000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407081045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 216696 (New York) | Primary |
| Provider Name | Todd Orszulak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881761864 PECOS PAC ID: 5294712519 Enrollment ID: I20040706000463 |
| Provider Name | Maureen L Westgarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366609976 PECOS PAC ID: 7810149044 Enrollment ID: I20121214000039 |
| Provider Name | Caitlin E Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629525167 PECOS PAC ID: 8628359627 Enrollment ID: I20170106000221 |
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