Jamestown Physician Services of Ny PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JAMESTOWN PHYSICIAN SERVICES OF NY PC

Practice address

207 Foote Ave
Jamestown, NY 14701-7077

Phone

(716) 487-0141

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Holtzclaw, M.D.NPI 1013960871

Title

President

Phone

(865) 693-1000

Specialties & licenses 7

Addresses

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Holtzclaw, M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
  • NPI 1013960871
  NPD (past) Authorized official
• Kevin Patrick Cunningham, MD

  • Specialist
  • Corning, NY
  • NPI 1790821858
  NPD (past)
• Gil Michael Farkash, MD FACOG

  • Obstetrics & Gynecology Physician
  • Orchard Park, NY
  • NPI 1871599381
  NPD (past)
• Bhagwandas L Sutaria, MD

  • Obstetrics & Gynecology Physician
  • Jamestown, NY
  • NPI 1962428110
  NPD (past)
• Kurt J Ehlert, M.D.

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1013930312
  NPD (past)
• James Michael Glenn, M.D.

  • Orthopaedic Surgery Physician
  • Green Bay, WI
  • NPI 1336143320
  NPD (past)
• Annette Veronica Wagner, M.D.

  • Obstetrics & Gynecology Physician
  • Wilkes Barre, PA
  • NPI 1699718031
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1982951638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN PHYSICIAN SERVICES OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamestown City School District
• Jamestown Imaging Management LLC (Jamestown Open MRI)
• Jamestown Medical Oncology Hematology, LLC
• Jamestown Optometric Group, PC (Spectrum Eyecare)
• Jamestown Pediatric Associates, LLP
• Jamestown Primary Care LLP
• Jamestown Psychiatric PC
• Jamestown Spine, LLC
• Jamestown Transport & Rental Services Inc
• Jennifer M Janocha, PHYSICIAN ASSISTANT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.