Thomas Dean Wasser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

122432 Issued in NY

Practice address

14 William St
Lyons, NY 14489-1155

Phone

(315) 946-0123

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1326091174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILLIAM ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891155",
            "telephone_number": "315-946-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILLIAM ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891155",
            "telephone_number": "315-946-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSER",
        "first_name": "THOMAS",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "122432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Vivlamore, CRPA-P
• Morgan Wadsworth
• Kimberly Jean Golding Wagner, LMSW
• Kyle Wagner
• Lisa Ann Warner, LPN ASSOC SOCIAL SER
• Wayne County (Wayne County Public Health)
• Wayne County Action Program, Inc.
• Wayne County Action Program, Inc.
• Wayne County Action Program, Inc.
• Wayne County Dept of Aging and Youth

• Family Medicine Physician in Lyons, NY
• Providers in Lyons, 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 16, 2014; 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.