NPIMap

Individual provider Active NPI

John H Wanamaker

  • Radiologic Technologist
  • Bucyrus, OH
National Provider Identifier
1518951706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
R2490148 Issued in OH
Practice address
124 S Sandusky Ave
Bucyrus, OH 44820-2219
Phone
(419) 562-8777
Fax
(419) 562-0921
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X R2490148 OH Primary

Addresses

Primary practice location

124 S Sandusky Ave
Bucyrus, OH 44820-2219

Mailing address

124 S Sandusky Ave
Bucyrus, OH 44820-2219
Phone (419) 562-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R2490148OHMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda L. Wanamaker PTR Past Accepting new patients
Mobile Radiology Associates Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518951706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202219",
            "telephone_number": "419-562-8777",
            "fax_number": "419-562-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202219",
            "telephone_number": "419-562-8777",
            "fax_number": "419-562-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAMAKER",
        "first_name": "JOHN",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R2490148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.