THOMAS W VANARNAM JR. (NPI# 1902094212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902094212 |
| Entity Type | Individual |
| Full Name | THOMAS W VANARNAM JR. |
| Credential | PA |
| Practice Address |
5719 Widewaters Pkwy Syracuse NY 13214-1985 |
| Practice Telephone | 3152513100 |
| Practice Fax Number | 3154499923 |
| Mailing Telephone | 3152513100 |
| Mailing Fax Number | 3154499923 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
012128 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
012128 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03340181 | 05 |
| Street Address |
5719 WIDEWATERS PKWY |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1700486065 | Heather M. Stamour | Nurse Practitioner | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2020-10-27 |
| 1962062364 | Onondaga Orthopedics LLP | Durable Medical Equipment & Medical Supplies | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2019-06-18 |
| 1548711583 | Laura Yasuko Goodwell-velez | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1811448855 | Laurance Goodwin IIi | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1326486754 | Nicole I. Jones | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-06-07 |
| 1821330176 | Anthony M Orio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-03-25 |
| 1790036697 | Marvin Balmir | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2012-10-02 |
| 1295093763 | Cassandra Riggs | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214 | 2012-05-02 |
| 1275845760 | Melissa A Cullinan | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1760043574 | Colin Michael King | Physician Assistant | 135 Somerset Rd, Syracuse, NY 13224-1961 | 2019-06-24 |
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
| 1245210129 | Benjamin I Connor | Physician Assistant | 2700 Court St, Syracuse, NY 13208-3295 | 2006-01-18 |
| 1326020033 | Michelle Margaret Ederer | Physician Assistant | 3504 W Genesee St, Syracuse, NY 13219-2008 | 2005-11-17 |
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1568022853 | Chelsea Clareann Yager | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-18 |
| 1104308253 | Diana Maria Ramirez | Physician Assistant | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-09-05 |
| Find all providers in SYRACUSE | ||||
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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.