ALANN WEISSMAN-WARD M.D. NPI 1629309398

NPI Information

NPI: 1629309398
Provider Name: ALANN WEISSMAN-WARD, M.D.
Classification: Clinic/Center - 261QF0400X
Entity Type: Individual

Specialization: Federally Qualified Health Center (FQHC)

PECOS Registration: Yes

Address:
1045 JAMES ST
SYRACUSE, NY
ZIP 13203
Phone: (315) 413-7694
Get Directions

Alann Weissman-ward, M.D. is a federally qualified health center (fqhc) clinic center in Syracuse, NY with 15 years of experience. Alann Weissman-ward, M.D. NPI is 1629309398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2009

The provider's business location address is:

1045 JAMES ST
SYRACUSE, NY
ZIP 13203-730
Phone: (315) 413-7694
Fax: (315) 451-3860

The NPI 1629309398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 8/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD176080	OREGON	No
2	207Q00000X	Family Medicine		A116570	CALIFORNIA	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	096511	MEDICAID	OREGON
2	022959	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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