NPIMap

Individual provider Active NPI

Andrew Wight, MD

  • Family Medicine Physician
  • Vernon, NY
National Provider Identifier
1992116404
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
287469-1 Issued in NY
Practice address
3 Curtis Rd
Vernon, NY 13476-3607
Phone
(315) 829-2220
Fax
(315) 829-3955
NPI assigned
May 19, 2014
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 287469-1 NY Primary

Addresses

Primary practice location

3 Curtis Rd
Vernon, NY 13476-3607

Mailing address

3 Curtis Rd
Vernon, NY 13476-3607
Phone (315) 829-2220

Other practice location 1

7137 Mt Pleasant Rd
Canastota, NY 13032-5024
Phone (315) 697-2033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811002655 NY Practitioner - Family Practice 1456622299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians

Practice addresses (Care Compare)

125 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2205

139 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2385

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287469-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Practice, PC CurrentSince Jul 1, 2018 Accepting new patients
Oneida Health Systems, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Oneida Medical Practice, PC CurrentSince Jul 1, 2018 Accepting new patients
Oneida Health Systems, Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

7137 Mount Pleasant Rd
Canastota, NY 13032
Phone (315) 697-2033

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

Interoperability endpoints

  • Direct secure messaging: awight@ompohc.medentdirect.com
  • Direct secure messaging: awight@trivalleyfamilypractice.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1992116404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7137 Mt Pleasant Rd",
            "address_purpose": "LOCATION",
            "city": "Canastota",
            "state": "NY",
            "postal_code": "130325024",
            "country_code": "US",
            "telephone_number": "315-697-2033",
            "fax_number": "315-697-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "287469-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NY

Sources for this page

Verify at the official NPI Registry.