Active NPI
Thomas A Wormer, M.D.
- Surgery Physician
- Canandaigua, NY
National Provider Identifier
1205828068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 168688
- Practice address
- 335 Parrish St
Canandaigua, NY 14424-1728 - Phone
- (585) 393-2888
- Fax
- (585) 396-9275
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 168688 | NY | Primary |
Addresses
Primary practice location
335 Parrish St
Canandaigua, NY 14424-1728
Mailing address
335 Parrish St
Canandaigua, NY 14424-1728
Phone (585) 393-2888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD4041 | Other | NY | PREFERRED CARE |
| 01059865 | Medicaid | NY | |
| 9865 | Other | NY | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205828068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241728",
"telephone_number": "585-393-2888",
"fax_number": "585-396-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241728",
"telephone_number": "585-393-2888",
"fax_number": "585-396-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORMER",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "168688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MD4041",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01059865",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "9865",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.