MEDICARE: AMHERST MEDICAL ASSOCIATES, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4765080001	OTHER		DME MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154387660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMHERST MEDICAL ASSOCIATES, LLP

Provider Business Mailing Address
First Line	:	1416 SWEET HOME RD STE 5
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2784
Country	:	US
Telephone Number	:	716-834-4266
Fax Number	:	716-834-6276

Provider Business Practice Location Address
First Line	:	1416 SWEET HOME RD STE 5
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2784
Country	:	US
Telephone Number	:	716-834-4266
Fax Number	:	716-834-6276

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC SOUTHARD
Credential	:	MD
Telephone Number	:	716-834-4266

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	08/19/2025

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