Upmc Chautauqua at Wca

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0602001H Issued in NY

Legal business name

UPMC CHAUTAUQUA AT WCA

Practice address

207 Foote Ave
Jamestown, NY 14701-7077

Phone

(716) 487-0141

Fax

(716) 487-2488

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Bradley Nelson Dinger

Title

Cfo

Phone

(814) 877-3739

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• UPMC Chautauqua WCA Doing business as
• Womans Christian Association Hospital Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Upmc Chautauqua at Wca

  • Hospitalist Physician
  • Jamestown, NY
  • NPI 1033227111

  O20040423000846

  Same enrollment
• Upmc Chautauqua at Wca

  • Psychiatric Hospital Unit
  • Jamestown, NY
  • NPI 1063498889

  O20040423000846

  Same enrollment
• Upmc Chautauqua at Wca

  • Hematology & Oncology Physician
  • Jamestown, NY
  • NPI 1295033298

  O20040423000846

  Same enrollment
• Upmc Chautauqua at Wca

  • Psychiatry Physician
  • Jamestown, NY
  • NPI 1386725182

  O20040423000846

  Same enrollment
• Upmc Chautauqua at Wca

  • General Acute Care Hospital
  • Jamestown, NY
  • NPI 1770573222

  O20040423000846

  Same enrollment
• Upmc Chautauqua at Wca

  • Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1871570614

  O20040423000846

  Same enrollment

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1962748095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-487-0141",
            "fax_number": "716-487-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-487-0141",
            "fax_number": "716-487-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC CHAUTAUQUA AT WCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-877-3739"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "0602001H",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "0602001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04104376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Chautauqua WCA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Womans Christian Association Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Womans Christian Association Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Upmc Chautauqua at Wca
• Upmc Chautauqua at Wca
• Upmc Chautauqua at Wca
• Upmc Chautauqua at Wca
• Upmc Chautauqua at Wca
• Urban Cycling 365, Inc
• Urban Mental Health Counseling Services PLLC
• Mary Jill Vaillancourt, CRNP
• Jacob Van Wart, DPT
• Ashley Christine Vanepps, COTA/L

• Surgery Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.