Active NPI
Upmc Chautauqua at Wca
- Hematology & Oncology Physician
- Jamestown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- UPMC CHAUTAUQUA AT WCA
- Practice address
- 207 Foote Ave
Jamestown, NY 14701-7077 - Phone
- (716) 487-0141
- NPI assigned
- Mar 1, 2011
- Organization subpart
- Yes
- Parent organization
- UPMC CHAUTAUQUA AT WCA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Nelson Dinger
- Title
- Cfo
- Phone
- (814) 877-3739
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X |
Addresses
Primary practice location
207 Foote Ave
Jamestown, NY 14701-7077
Mailing address
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141
Other practice location 1
51 Glasgow Ave
Jamestown, NY 14701-6440
Phone (716) 487-0141
Other practice location 2
306 Central Ave
Dunkirk, NY 14048-2125
Phone (716) 363-0018
Other practice location 3
504 Central Ave.
UPMC Hillman Cancer Center Dunkirk
Dunkirk, NY 14048
Phone (716) 664-8101
Other practice location 4
322 Park Ave
Dunkirk, NY 14048-2237
Phone (716) 483-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03352389 | Medicaid | NY |
Other names 2
- UPMC Chautauqua WCA
- Woman's Christian Association Hospital
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Healthynet | ||
| Other URL | Healthnet |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423000846 | NY | Part B Supplier - Clinic/Group Practice | 4385630342 |
Receives reassigned benefits from 36 practitioners 9 other NPIs on this enrollment Practice locations: Dunkirk, NY; Jamestown, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Upmc Chautaqua at Wca
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, NY
- NPI 1255964268
NY, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1295033298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FOOTE AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017077",
"telephone_number": "716-487-0141",
"fax_number": "716-487-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FOOTE AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017077",
"telephone_number": "716-487-0141"
}
],
"practiceLocations": [
{
"address_1": "51 Glasgow Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "NY",
"postal_code": "147016440",
"country_code": "US",
"telephone_number": "716-487-0141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Central Ave",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "140482125",
"country_code": "US",
"telephone_number": "716-363-0018",
"fax_number": "716-338-0021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 Central Ave.",
"address_2": "UPMC Hillman Cancer Center Dunkirk",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "14048",
"country_code": "US",
"telephone_number": "716-664-8101",
"fax_number": "716-485-7407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "322 Park Ave",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "140482237",
"country_code": "US",
"telephone_number": "716-483-2200",
"fax_number": "716-366-1976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UPMC CHAUTAUQUA AT WCA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC CHAUTAUQUA AT WCA",
"enumeration_date": "2011-03-01",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "DINGER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-877-3739"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03352389",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Healthynet",
"affiliation": "N",
"address_1": "207 Foote Ave",
"city": "Jamestown",
"state": "NY",
"country_code": "US",
"postal_code": "147017077",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Healthnet",
"affiliation": "N",
"address_1": "207 Foote Ave",
"city": "Jamestown",
"state": "NY",
"country_code": "US",
"postal_code": "147017077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "UPMC Chautauqua WCA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Woman's Christian Association Hospital",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Woman's Christian Association Hospital",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.