Corliss Adam Varnum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

165522 Issued in NY

Practice address

33 E Schuyler St
Oswego, NY 13126-1161

Phone

(315) 343-6974

Fax

(315) 342-3625

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Selma J. Sheridan MD

  dba Eyewear Center

  • Optician
  • Oswego, NY
  • NPI 1467622753
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1275523672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E SCHUYLER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261161",
            "telephone_number": "315-343-6974",
            "fax_number": "315-342-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E SCHUYLER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261161",
            "telephone_number": "315-343-6974",
            "fax_number": "315-342-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNUM",
        "first_name": "CORLISS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00964989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Van Camp
• Scott C. Van Gorder, D.O.
• Jon Robert Vanderweele, DO
• Bobbie Rae Faivus Vangorder, P.A.
• Alicia Lynne Vann, PT, DPT
• Ruth Noemi Vasquez, NP
• Jennifer Lynn Vayner, PTA
• Nichole Leone Veaudry, PTA
• Alexis N Veiga, COTA
• Sheri Lynn Vera, L.P.N.

• Family Medicine Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.