Active NPI
Wyoming County
- Obstetrics & Gynecology Physician
- Warsaw, NY
National Provider Identifier
1487047338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WYOMING COUNTY
- Practice address
- 400 N Main St
Warsaw, NY 14569-1025 - Phone
- (585) 786-8940
- NPI assigned
- Mar 16, 2015
- Organization subpart
- Yes
- Parent organization
- WYOMING COUNTY COMMUNITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Corcimiglia
- Title
- Coo
- Phone
- (585) 786-8940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
400 N Main St
Warsaw, NY 14569-1025
Mailing address
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Warsaw, NY
- NPI 1437520004
O20040929001076
-
- Public Health or Welfare Agency
- Silver Springs, NY
- NPI 1720115017
O20040929001076
National Provider Directory
National Provider Directory- Part of
- WCCH Medical Group
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/wyoming-d730a2fb
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Williamsville, NY
- NPI 1447289236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1487047338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-8940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYOMING COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WYOMING COUNTY COMMUNITY",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "CORCIMIGLIA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "585-786-8940"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.