1316929169 NPI number — DR. JAMES F TWIST MD

Table of content: DR. JAMES F TWIST MD (NPI 1316929169)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316929169 NPI number — DR. JAMES F TWIST MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TWIST
Provider First Name:
JAMES
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316929169
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2156 SHERIDAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KENMORE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14223-1441
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-873-7227
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2156 SHERIDAN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENMORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14223-1441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-873-7227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  1465021 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00010180801 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040426000804 . This is a "FIDELIS CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 47388 . This is a "SPECTERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000500312001 . This is a "BCBS OF WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0801348 . This is a "IHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000500312001 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00834639 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com