Rebecca W Wadsworth, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

159069 Issued in NY

Practice address

6254 Lawville Rd
Wolcott, NY 14590-9792

Phone

(315) 594-9444

Fax

(315) 594-1315

NPI assigned

Aug 14, 2006

Last updated

Mar 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1831102466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 LAWVILLE RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909792",
            "telephone_number": "315-594-9444",
            "fax_number": "315-594-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 LAWVILLE RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909792",
            "telephone_number": "315-594-9444",
            "fax_number": "315-594-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "REBECCA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01217445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Vanfleet, PT
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• Walgreen Co (Walgreens #19736)
• Wayne LTC Pharmacy Inc (Wolcott Pharmacy)
• Adam Jon Weis, MD
• Kathryn Welkley
• Melissia Wheeler, R.N.

• Internal Medicine Physician in Wolcott, NY
• Providers in Wolcott, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.