JOHN JOSEPH WASENKO (NPI# 1104840826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104840826 |
| Entity Type | Individual |
| Full Name | JOHN JOSEPH WASENKO |
| Credential | M.D. |
| Practice Address |
1571 Washington St Suite 101 Watertown NY 13601-9304 |
| Practice Telephone | 3157865046 |
| Practice Fax Number | 3157865046 |
| Mailing Telephone | 3157865046 |
| Mailing Fax Number | 3157865043 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1465081 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01198365 | 05 | |
| RAILROAD MEDICARE | 300011040 | 01 |
| Street Address |
1571 WASHINGTON ST SUITE 101 |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-9304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997042 | Mark Kwalbrun | Radiology | 1571 Washington St, Suite 101, Watertown, NY 13601-9304 | 2005-07-29 |
| 1881018588 | Katherine S. Johnson | Physician Assistant | 1571 Washington St, Suite 104, Watertown, NY 13601-9304 | 2014-02-15 |
| 1710207485 | Joseph C Gianfagna | Specialist | 1571 Washington St, Suite 107, Watertown, NY 13601 | 2010-06-04 |
| 1366608846 | Alyssa J Gibbs | Physical Therapist | 1571 Washington St, Suite 201, Watertown, NY 13601-9304 | 2008-08-04 |
| 1184882243 | Barratt Matthew Schultz | Physician Assistant | 1571 Washington St, Suite 201, Watertown, NY 13601-9304 | 2008-05-27 |
| 1720274657 | Myla D Estepa | Pediatrics | 1571 Washington St, Ste 107, Watertown, NY 13601-9219 | 2007-09-25 |
| 1376749887 | Edward Choung | Orthopaedic Surgery | 1571 Washington St, Suite 201, Watertown, NY 13601-9304 | 2007-06-22 |
| 1417043811 | Khalil Kardooni | Specialist | 1571 Washington St, Suite 107, Watertown, NY 13601-9319 | 2006-10-04 |
| 1437243854 | Alfred Libero Gianfagna | Specialist | 1571 Washington St, Suite 107, Watertown, NY 13601-9319 | 2006-10-02 |
| 1750318705 | Watertown Pediatrics,pc | Specialist | 1571 Washington St, Suite 107, Watertown, NY 13601-9304 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861685166 | Sanford Clinic | Radiology | 891 14th Ave Ne, Watertown, SD 57201 | 2007-08-21 |
| 1871538504 | Diagnostic Radiology Associates LLC | Radiology | 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 | 2006-06-17 |
| 1922045863 | Magnetic Imaging Center/open Mri, LLC | Radiology | 629 Washington St, Watertown, NY 13601-4035 | 2006-05-31 |
| 1750370805 | Northern Radiology Imaging Center, Pllc | Radiology | 1571 Washington Street, Suite 101, Watertown, NY 13601 | 2005-10-20 |
| 1811997042 | Mark Kwalbrun | Radiology | 1571 Washington St, Suite 101, Watertown, NY 13601-9304 | 2005-07-29 |
| 1124435607 | Rg Sherry Md, Pllc | Radiology | 1340 Washington St, Watertown, NY 13601-4541 | 2014-07-17 |
| 1306147921 | Nrs Arizona, Pa | Radiology | 506 1st Ave Se, Watertown, SD 57201-4402 | 2010-11-12 |
| 1235361064 | Gwen M Schaunaman | Radiology | 506 1st Ave Se, Watertown, SD 57201-4402 | 2009-08-12 |
| 1861685133 | Radiology Waukesha S.c. | Radiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-08-21 |
| 1174611529 | Pierce James Meier | Radiology | 125 Hospital Drive, Watertown Memorial Hospital, Watertown, WI 53094 | 2006-10-11 |
| Find all providers in WATERTOWN | ||||
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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.