Organization Active NPI

John B. Wiles, M.D., P.C.

  • Surgery Physician
  • Cheektowaga, NY
National Provider Identifier
1669761763
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
132618 Issued in NY
Legal business name
JOHN B. WILES, M.D., P.C.
Practice address
2625 Harlem Rd Ste 140
Cheektowaga, NY 14225-4031
Phone
(716) 893-0221
Fax
(716) 893-0225
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. John B Wiles, M.D.
Title
President
Phone
(716) 893-0221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 132618 NY Primary

Addresses

Primary practice location

2625 Harlem Rd Ste 140
Cheektowaga, NY 14225-4031

Mailing address

2625 Harlem Rd Ste 140
Cheektowaga, NY 14225-4031
Phone (716) 893-0221

Other identifiers 4

IdentifierTypeStateIssuer
1708903OtherNYINDEPENDENT HEALTH
000508227003OtherNYBLUE CROSS BLUE SHIELD OF WESTERN NY, INC.
00010189401OtherUNIVERA HEALTHCARE
00645432MedicaidNY

National Provider Directory

National Provider Directory

Locations

2625 Harlem Rd
Ste 140
Cheektowaga, NY 14225
Phone (716) 893-0221

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1669761763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD STE 140",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0221",
            "fax_number": "716-893-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD STE 140",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0221",
            "fax_number": "716-893-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. WILES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-893-0221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "132618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1708903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WESTERN NY, INC.",
            "identifier": "000508227003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010189401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00645432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.