NPIMap

Organization Active NPI

Wyoming County

  • Anesthesiology Physician
  • Warsaw, NY
National Provider Identifier
1659759587
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
255096 Issued in NY
Legal business name
WYOMING COUNTY
Practice address
400 North Main Street
Warsaw, NY 14569
Phone
(585) 786-8940
Fax
(585) 786-1222
NPI assigned
May 12, 2015
Organization subpart
Yes
Parent organization
WYOMING COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Michael A. Corcimiglia, MSL
Title
Chief Operating Officer
Phone
(585) 786-8940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 255096 NY Primary

Addresses

Primary practice location

400 North Main Street
Warsaw, NY 14569

Mailing address

400 North Main Street
Warsaw, NY 14569
Phone (585) 786-8940

National Provider Directory

National Provider Directory
Tax ID family
WCCH Medical Group15 organizations share this tax ID, including this one
Part of
WCCH Medical Group

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1659759587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORTH MAIN STREET",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "14569",
            "telephone_number": "585-786-8940",
            "fax_number": "585-786-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTH MAIN STREET",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "14569",
            "telephone_number": "585-786-8940",
            "fax_number": "585-786-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING COUNTY",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "CORCIMIGLIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "585-786-8940",
        "authorized_official_credential": "MSL"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "255096",
            "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 May 12, 2015; 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.