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Deactivated NPI 1669140133 Deactivated / Inactive NPI Male Practitioner

Connor Thomas Smail

Peer Specialist • Buffalo, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Connor Smail has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2021
NPI Deactivation Date September 27, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Connor Smail was a registered Peer Specialist practicing in Buffalo, NY. Throughout an active medical career spanning 3 years, Connor Smail provided care at the practice location at 1500 BROADWAY ST until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

1500 Broadway St

Buffalo, NY 142121862

Telephone 7168420440
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
136 Specialists

Practicing in Buffalo, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Marie Pytlak , RN

Registered Nurse

NPI 1033354774

Registered Nurse

Samantha Tremko , BSW

Case Manager/Care Coordinator

NPI 1033708219

Bachelor of Social Work

Mary Logan

Counselor

NPI 1063958064
Elliot Dossett

Peer Specialist

NPI 1124666250
NPI 1124835939
Debra Washington , MHCP

Counselor - Mental Health

NPI 1134080237

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active August 31, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2021

Registered at 1500 BROADWAY ST, BUFFALO, NY 142121862 (Tel: 7168420440)

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Updated Business Mailing Address August 31, 2021

Registered at 870 E AND WEST RD, WEST SENECA, NY 142243662 (Tel: 7165744028)

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Provider Name / Credentials Updated August 31, 2021

Recorded as CONNOR SMAIL

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Peer Specialist

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Initial NPI Registration & Enumeration August 31, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669140133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2021
Last Update: August 31, 2021
Deactivation Date: September 27, 2024

Mailing Address

870 E And West Rd

West Seneca, NY 142243662

Phone: 7165744028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.