Organization Active NPI

John R. Wanamaker, MD PC

  • Otolaryngology Physician
  • Liverpool, NY
National Provider Identifier
1447509112
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
980213000640 Issued in NY
Legal business name
JOHN R. WANAMAKER, MD PC
Practice address
5100 W Taft Rd
Ste 3a
Liverpool, NY 13088-3807
Phone
(315) 632-7000
Fax
(315) 632-7010
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
John Raymond Wanamaker, MD
Title
MD
Phone
(315) 632-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 980213000640 NY Primary

Addresses

Primary practice location

5100 W Taft Rd
Ste 3a
Liverpool, NY 13088-3807

Mailing address

5100 W Taft Rd
Ste 3a
Liverpool, NY 13088-3807
Phone (315) 632-7000

National Provider Directory

National Provider Directory

Locations

5100 W Taft Rd
Ste 3A
Liverpool, NY 13088
Phone (315) 632-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9322/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1447509112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "STE 3A",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-632-7000",
            "fax_number": "315-632-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "STE 3A",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-632-7000",
            "fax_number": "315-632-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. WANAMAKER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-632-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "980213000640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.