Individual provider Active NPI

John Frank Tanquary, M.D.

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1578629960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
170319 Issued in NY
Practice address
327 W Fayette St
RM 312
Syracuse, NY 13202-1275
Phone
(315) 422-7699
Fax
(315) 478-7655
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 170319 NY Primary

Addresses

Primary practice location

327 W Fayette St
RM 312
Syracuse, NY 13202-1275

Mailing address

327 W Fayette St
RM 312
Syracuse, NY 13202-1275
Phone (315) 422-7699

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
170319NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse University Past Accepting new patients

Organizations & group practices 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578629960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W FAYETTE ST",
            "address_2": "RM 312",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021275",
            "telephone_number": "315-422-7699",
            "fax_number": "315-478-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W FAYETTE ST",
            "address_2": "RM 312",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021275",
            "telephone_number": "315-422-7699",
            "fax_number": "315-478-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANQUARY",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "170319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

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.