West Onondaga Physicians PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

119574 Issued in NY

Legal business name

WEST ONONDAGA PHYSICIANS PC

Practice address

659 West Onondaga St
Syracuse, NY 13204

Phone

(315) 475-5176

Fax

(315) 476-0263

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harry Richard Black, MDNPI 1124124268

Title

President

Phone

(315) 475-5176

Specialties & licenses 1

Addresses

Locations

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.

• Harry Richard Black, MD

  • General Practice Physician
  • Syracuse, NY
  • NPI 1124124268
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265557995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 WEST ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "315-475-5176",
            "fax_number": "315-476-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 WEST ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "315-475-5176",
            "fax_number": "315-476-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ONONDAGA PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-475-5176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "119574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Werner, PA-C
• Klaus Werner, MD
• Joseph Wertyschyn, RPH
• Troy Sanford Wescott, CRPA
• West Fayette Drugs LLC
• Abigail P West
• Jessica West, PA
• Marci Jo West, LCSW
• Matthew Frank West, DNP, PMHNP-BC
• Lauren Nicole Westby

• General Practice Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.