DR. WESLEY KENNETH CANFIELD (NPI# 1629222740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629222740 |
Entity Type | Individual |
Full Name | DR. WESLEY KENNETH CANFIELD |
Credential | M.D. |
Practice Address |
236 Bob Masia Dr Pine City NY 14871-9702 |
Practice Telephone | 6077370850 |
Practice Fax Number | 6077370865 |
Mailing Telephone | 6077370850 |
Mailing Fax Number | 6077370865 |
Enumeration Date | 2008-11-17 |
Last Update Date | 2012-05-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 164799 | NY | Allopathic & Osteopathic Physicians |
Street Address |
236 BOB MASIA DR |
City | PINE CITY |
State | NY |
Zip Code | 14871-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841337672 | Gangadhara R Kabbli | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871 | 2007-01-31 |
1548538309 | Joan M Gensel | Student in an Organized Health Care Education/Training Program | 1551 Pennsylvania Ave, Pine City, NY 14871-9110 | 2011-12-08 |
1285605766 | William Ridge Mcclintic | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-01-31 |
1104152792 | Guthrie Clinic Ltd | Clinic/Center | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-11-02 |
1710118781 | Andrea E Herman | Physician Assistant | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-08-07 |
1790977890 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2007-08-13 |
1508947540 | Christopher Daniel Fucito | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-10-18 |
1790877611 | Julie Dorsey Boersen | Nurse Practitioner | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-28 |
1376645838 | Najeeb Ur Rehman | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-03 |
1205938263 | Vincent S Ladelia | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-01 |
Find all providers in zip 14871 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.