Kathleen Louise Wania, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

264137 Issued in NY

Practice address

3208 Latta Rd Ste 1
Rochester, NY 14612-3084

Phone

(585) 504-6504

Fax

(585) 504-4923

NPI assigned

Apr 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drwania@greecepeds.opdirect.net

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.

• Greece Pediatric Medicine, PLLC

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1528644705
  NPD Authorized official
• English Road Pediatrics and Adolescent Medicine

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1346395126
  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1356583553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SACKETS LNDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121482",
            "telephone_number": "716-861-8081",
            "fax_number": "585-504-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 LATTA RD STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123084",
            "telephone_number": "585-504-6504",
            "fax_number": "585-504-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANIA",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "264137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Wang
• Wanning Wang, DMD
• Weitao Wang
• Wenjia Wang
• XI Wang, M.D.
• Muhammad Waqas, MD
• Mary Warchocki, RN
• Christa Marie Ward, PA-C
• Denham S Ward, M.D.
• Dominique Ward

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.