Individual provider Active NPI

Gary R Wakeman, M.D.

  • Emergency Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1891776696
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
138119 Issued in NY
Practice address
6 Preserve Way
Saratoga Springs, NY 12866-5842
Phone
(518) 577-8858
Fax
(518) 584-8663
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 138119 NY Primary
Family Medicine Physician 207Q00000X 138119 NY

Addresses

Primary practice location

6 Preserve Way
Saratoga Springs, NY 12866-5842

Mailing address

6 Preserve Way
PO Box 4786
Saratoga Springs, NY 12866-5842
Phone (518) 577-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040715000568 NY Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family Practice 4880677897 Reassigns benefits to 6 organizations
I20221130003193 TX Practitioner - Emergency Medicine 4880677897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Hospitalist Services LLC CurrentSince May 28, 2023 Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 1, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 14, 2021 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Delaware River Medicine, PLLC Emergency Medicine CurrentSince Apr 6, 2020 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 15, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 15, 2022 Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1160 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

204 S Broadway
Saratoga Springs, NY 12866
Phone (518) 226-3288

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1891776696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PRESERVE WAY",
            "address_2": "PO BOX 4786",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665842",
            "telephone_number": "518-577-8858",
            "fax_number": "518-584-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PRESERVE WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665842",
            "telephone_number": "518-577-8858",
            "fax_number": "518-584-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "138119",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "138119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.