Healthcare Provider Details

I. General information

NPI: 1811658883
Provider Name (Legal Business Name): CARE MEDICAL PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 NIAGARA ST BLDG 2
BUFFALO NY
14201-1108
US

IV. Provider business mailing address

564 NIAGARA ST BLDG 2
BUFFALO NY
14201-1108
US

V. Phone/Fax

Practice location:
  • Phone: 716-882-0366
  • Fax:
Mailing address:
  • Phone: 716-882-0366
  • Fax: 716-306-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY C ARMSTEAD
Title or Position: CEO
Credential: MD
Phone: 310-418-7250