Provider Demographics
NPI:1932344470
Name:THOMAS F. HUGHES MD PC
Entity type:Organization
Organization Name:THOMAS F. HUGHES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-626-5840
Mailing Address - Street 1:2701 TRANSIT RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-9032
Mailing Address - Country:US
Mailing Address - Phone:716-626-5840
Mailing Address - Fax:
Practice Address - Street 1:2701 TRANSIT RD
Practice Address - Street 2:SUITE 143
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9032
Practice Address - Country:US
Practice Address - Phone:716-626-5840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ100000101Medicare PIN