Active NPI
Southern Tier Arthritis & Rheumatism PC
- Rheumatology Physician
- Olean, NY
National Provider Identifier
1003940354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 195467-1
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Vandewall
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Rheumatology Physician
- Olean, NY
- NPI 1609872795
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
- Neeta Soni, MD
- Rebekah Sorensen, PA
- Allison Sortore
- Brian South, PSYD
- Southern Tier Anesthesiologists PC
- Southern Tier Community Health Center Network Inc (UPC Community Pharmacy-Olean)
- Southern Tier Community Health Center Network, Inc. (Universal Primary Care)
- Southern Tier Obstetrics & Gynecology PC
- Southern Tier Optometric Center Inc (Sothern Tier Optical)
- Southern Tier Optometric Center, Inc. (Council Optometric Center)
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.