Organization Active NPI

John M Wadsworth MD PC

  • Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1144474735
Registry record updated Nov 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
112646 Issued in NY
Legal business name
JOHN M WADSWORTH MD PC
Doing business as
John M. Wadsworth MD PC
Practice address
313 Summer St
Buffalo, NY 14222-2146
Phone
(716) 883-5367
Fax
(716) 884-7260
NPI assigned
Nov 9, 2008
Last updated
Nov 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN M. WADSWORTH MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2008

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

Authorized official

Name
Dr. John M Wadsworth, MD
Title
Owner
Phone
(716) 883-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 112646 NY Primary

Addresses

Primary practice location

313 Summer St
Buffalo, NY 14222-2146

Mailing address

313 Summer St
Buffalo, NY 14222-2146
Phone (716) 883-5367

Other names 1

  • John M. Wadsworth MD PC Doing business as

National Provider Directory

National Provider Directory
Part of
John M Wadsworth MD PC

Locations

313 Summer St
Buffalo, NY 14222
Phone (716) 883-5367

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226188800000",
    "number": "1144474735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SUMMER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222146",
            "telephone_number": "716-883-5367",
            "fax_number": "716-884-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SUMMER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222146",
            "telephone_number": "716-883-5367",
            "fax_number": "716-884-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M WADSWORTH MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN M. WADSWORTH MD PC",
        "enumeration_date": "2008-11-09",
        "last_updated": "2008-11-09",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-883-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "112646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John M. Wadsworth MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.