Organization Active NPI

Henry N Chionuma MD PC

  • Internal Medicine Physician
  • Liverpool, NY
National Provider Identifier
1114916491
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HENRY N CHIONUMA MD PC
Practice address
7711 Oswego Rd
Liverpool, NY 13090-2322
Phone
(315) 652-1034
Fax
(315) 652-1493
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Henry Chionuma, MD
Title
Owner
Phone
(315) 652-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7711 Oswego Rd
Liverpool, NY 13090-2322

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 422-2933

Other identifiers 1

IdentifierTypeStateIssuer
02974803MedicaidNY

National Provider Directory

National Provider Directory

Locations

7711 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-1034

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1114916491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-422-2933",
            "fax_number": "315-422-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902322",
            "telephone_number": "315-652-1034",
            "fax_number": "315-652-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY N CHIONUMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "CHIONUMA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-652-1034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974803",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.