MEDICARE: DR. THOMAS V SMALLMAN MD

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	216518-1	NM
2	207X00000X	Orthopaedic Surgery Physician	216518	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1174528145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS V SMALLMAN MD

Provider Business Mailing Address
First Line	:	3 CHESTNUT CIR
Second Line	:
City	:	SKANEATELES
State	:	NY
Zip	:	13152-1301
Country	:	US
Telephone Number	:	315-415-0612
Fax Number	:	315-554-8185

Provider Business Practice Location Address
First Line	:	3 CHESTNUT CIR
Second Line	:
City	:	SKANEATELES
State	:	NY
Zip	:	13152
Country	:	US
Telephone Number	:	315-415-0612
Fax Number	:	315-554-8185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/19/2018

Similar Medicare Providers

1659953750 — MAUREEN H WOPPERER LCSW
Practice Location Address:

PO BOX 201
SKANEATELES, NY
13152-0201

Practice Phone: 315-840-0885
Practice Fax:

1558353599 — DR. JOHN J MAURILLO JR. O.D.
Practice Location Address:

3986 JORDAN RD , SUITE A
SKANEATELES, NY
13152-9401

Practice Phone: 315-685-2020
Practice Fax: 315-685-3337

1326034240 — DR. CASIMIR KAROL BOBOWSKI OD
Practice Location Address:

1342 NEW SENECA TPKE
SKANEATELES, NY
13152-8802

Practice Phone: 315-685-6185
Practice Fax: 315-685-2235

1962488601 — JEFFREY H CARLBERG MD
Practice Location Address:

783 FRANKLIN ST
SKANEATELES, NY
13152-9313

Practice Phone: 315-685-8988
Practice Fax: 315-685-2253

1992781686 — GAIL B KEENEN MD
Practice Location Address:

3922 FENNELL ST
SKANEATELES, NY
13152-9316

Practice Phone: 315-685-0908
Practice Fax: 315-685-1922

1720064470 — MARYBETH H CARLBERG MD
Practice Location Address:

783 FRANKLIN ST
SKANEATELES, NY
13152-9313

Practice Phone: 315-685-8988
Practice Fax: 315-685-2253

Directions to “ DR. THOMAS V SMALLMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.