Organization Active NPI

Wyoming Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Warsaw, NY
National Provider Identifier
1821492935
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
208844 Issued in NY
Legal business name
WYOMING URGENT CARE PLLC
Practice address
76 N Main St
Warsaw, NY 14569-1329
Phone
(585) 786-0101
Fax
(585) 786-3505
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Lesly Germain, M.D.NPI 1578534731
Title
Owner
Phone
(585) 786-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 208844 NY Primary
Urgent Care Clinic/Center 261QU0200X 171396 NY

Addresses

Primary practice location

76 N Main St
Warsaw, NY 14569-1329

Mailing address

76 N Main St
Warsaw, NY 14569-1329
Phone (585) 786-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150113000675 NY Part B Supplier - Clinic/Group Practice 2567786973 Receives reassigned benefits from 2 practitioners
Practice locations: Warsaw, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2086206Wyoming Urgent Care76 North Main Street, Warsaw, NY 14569Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1821492935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691329",
            "telephone_number": "585-786-0101",
            "fax_number": "585-786-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691329",
            "telephone_number": "585-786-0101",
            "fax_number": "585-786-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "GERMAIN",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-786-0101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "208844",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "171396",
            "primary": false
        }
    ],
    "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 Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.