National Provider Identifier

Todd Andrew Thomas, PA-C

Todd Andrew Thomas, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Gowanda, NY and a listed phone number of (716) 532-8729.

NPI 1194822890Gowanda, NYMedical Physician Assistant

Profile Overview

NPI
1194822890
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
September 17, 2006
Last Updated
March 08, 2019

Practice Location

  • 100 Memorial Dr
  • Gowanda, NY 14070-1111

Phone: (716) 532-8729

Mailing Address

  • Bertrand Chaffee Hospital
  • E 224 Main Street
  • Springville, NY 14141

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1194822890
Entity Type
Individual
Last Name
Thomas
First Name
Todd
Middle Name
Andrew
Name Prefix
Mr.
Credential
PA-C
Mailing Street Address
Bertrand Chaffee Hospital
Mailing Address Line 2
E 224 Main Street
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141
Mailing Country
US
Mailing Phone
(716) 201-0055
Mailing Fax
(866) 898-3409
Practice Street Address
100 Memorial Dr
Practice City
Gowanda
Practice State
NY
Practice ZIP Code
14070-1111
Practice Country
US
Practice Phone
(716) 532-8729
Enumeration Date
September 17, 2006
Last Updated
March 08, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
Other Identifiers
006374 (NY, PA Nys License), 02936510 (NY)