JAMES CRAIG VANDEWALL (NPI# 1609872795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872795 |
| Entity Type | Individual |
| Full Name | JAMES CRAIG VANDEWALL |
| Credential | MD |
| Practice Address |
415 N 8th St Olean NY 14760-2237 |
| Mailing Address |
415 N 8th St P.o. Box 1208 Olean NY 14760-6208 |
| Practice Telephone | 7163729399 |
| Practice Fax Number | 7163735530 |
| Mailing Telephone | 7163729399 |
| Mailing Fax Number | 7163735530 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
195467-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01482237 | 05 | |
| NY | RR MEDICARE | P00079354 | 01 |
| Street Address |
415 N 8TH ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003940354 | Southern Tier Arthritis & Rheumatism PC | Internal Medicine | 415 N 8th St, Olean, NY 14760-2237 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
| Find all providers in zip 14760 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1003940354 | Southern Tier Arthritis & Rheumatism PC | Internal Medicine | 415 N 8th St, Olean, NY 14760-2237 | 2007-03-16 |
| 1659370880 | Louis Stevens | Internal Medicine | 535 Main St, Olean, NY 14760-1513 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195077 | New York Rheumatology Care, PC | Internal Medicine | 1020 Park Ave Fl 1, New York, NY 10028-0913 | 2020-05-08 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1730601196 | New York University | Internal Medicine | 333 East 38th Street, New York, NY 10016 | 2017-07-07 |
| 1023539566 | New York University | Internal Medicine | 233 Broadway Ste 620, New York, NY 10279-0001 | 2017-07-06 |
| 1851846240 | Bernard Joffe | Internal Medicine | 10 Paula Pl, Chappaqua, NY 10514-1632 | 2016-08-16 |
| 1811377989 | Liliya Gandrabur | Internal Medicine | 4422 Third Ave Mills Bldg 3rd Fl, Dept of Internal Medicine, Bronx, NY 10457 | 2015-06-04 |
| 1568859007 | Varun Bhalla | Internal Medicine | 17 E 102nd St Ste 4d, New York, NY 10029 | 2015-04-22 |
| 1992195283 | Northeast Rheumatology PC | Internal Medicine | 85-49 Eliot Avenue Unit G, Rego Park, NY 11374 | 2015-01-26 |
| 1679962542 | Craig Smuda | Internal Medicine | 324 E 23rd St Fl 1, New York, NY 10010-4701 | 2015-01-15 |
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.