Organization Active NPI

Southern Tier Arthritis & Rheumatism PC

  • Rheumatology Physician
  • Olean, NY
National Provider Identifier
1003940354
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
195467-1 Issued in NY
Legal business name
SOUTHERN TIER ARTHRITIS & RHEUMATISM PC
Practice address
415 N 8TH St
Olean, NY 14760-2237
Phone
(716) 372-9399
Fax
(716) 373-5530
NPI assigned
Mar 16, 2007
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James VandewallNPI 1609872795
Title
Owner
Phone
(716) 372-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 195467-1 NY Primary

Addresses

Primary practice location

415 N 8TH St
Olean, NY 14760-2237

Mailing address

415 N 8TH St
P.O. Box 1208
Olean, NY 14760-6208
Phone (716) 372-9399

National Provider Directory

National Provider Directory

Locations

415 N 8th St
Olean, NY 14760
Phone (716) 372-9399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1003940354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 8TH ST",
            "address_2": "P.O. BOX 1208",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147606208",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER ARTHRITIS & RHEUMATISM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "VANDEWALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-372-9399",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "195467-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.