John Schwab, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

174919-1 Issued in NY

Practice address

5196 Genesee St
Bowmansville, NY 14026-1038

Phone

(716) 206-0005

Fax

(716) 206-0031

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811069248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5196 GENESEE ST",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261038",
            "telephone_number": "716-206-0005",
            "fax_number": "716-206-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5196 GENESEE ST",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261038",
            "telephone_number": "716-206-0005",
            "fax_number": "716-206-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip a Penepent Jr.
• Michael Rabice, M.D.
• Allyson Roach, MSW
• Kimberly Roaldi, PA
• Meghan Root
• Teresa Siejak
• Brittney Lee Soodsma, OTR/L
• Julie Ann St. John
• Denise Stankiewicz, M.S.
• Christina D Stasiuk, PT, DPT

• All providers in Bowmansville, NY
• Family Medicine Physician in New York

• 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.