WAYNE TERIS (NPI# 1881695740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881695740 |
| Entity Type | Individual |
| Full Name | WAYNE TERIS |
| Credential | MD |
| Practice Address |
4417 Vestal Pkwy E Vestal NY 13850-3556 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2558 |
| Practice Telephone | 6077292144 |
| Practice Fax Number | 6077292145 |
| Mailing Telephone | 6077292144 |
| Mailing Fax Number | 6077292145 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 169081 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
169081 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01015214 | 05 |
| Street Address |
4417 VESTAL PKWY E |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321529 | Dennis Perenyi | Obstetrics & Gynecology | 4417 Vestal Pkwy E, Ob/gyn, Vestal, NY 13850-3556 | 2005-07-28 |
| 1922606110 | Brittany Wingerter | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-10-12 |
| 1851903215 | Kwamia Sanford | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-08-18 |
| 1316571326 | Jamie Pastrick | Physical Therapist | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-02-28 |
| 1215595129 | Sarah Elizabeth Park | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-06-05 |
| 1275199416 | Diana Wobbe | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-05-14 |
| 1760945596 | Danielle Deyo | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-04-09 |
| 1801357447 | Michael Lane | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-03-27 |
| 1376011536 | Shelby Carver | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-11-06 |
| 1497221071 | Julia Munteanu | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365014 | Benjamin Max Kammerman | Family Medicine | 4433 Vestal Pkwy E, Vestal, NY 13850-3556 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638012 | Sports Medicine Specialist P.C. | Family Medicine | 1578 Williamsbridge Rd # 3d, Bronx, NY 10461-6265 | 2020-04-20 |
| 1588104855 | Winston Medical PC | Family Medicine | 10814 72nd Ave Ste 4, Forest Hills, NY 11375-5301 | 2017-03-06 |
| 1649680240 | Makoto Michael Yoshino | Family Medicine | 22 W 21st St Ste 400, New York, NY 10010 | 2014-05-05 |
| 1215378369 | Elan Luria Goldwaser | Family Medicine | 1 Pondfield Road, 1st Floor, Bronxville, NY 10708 | 2013-07-17 |
| 1134431554 | Joseph Weber-lopez | Family Medicine | 158 E Main St Ste 3, Huntington, NY 11743-2988 | 2010-07-14 |
| 1881857159 | James Nathan Robinson | Family Medicine | 148-168 39th St, Floor 7, Brooklyn, NY 11232 | 2008-07-08 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1598954158 | Anthony Cappellino Md PC | Family Medicine | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 | 2007-10-19 |
| 1356565790 | Christine Anne Blonski | Family Medicine | 2619 Culver Rd Ste 2a, Rochester, NY 14609-1738 | 2007-04-13 |
| 1265505036 | Si Medical Practice Associate PC | Family Medicine | 1147 Richmond Road, Staten Island, NY 10304 | 2006-11-17 |
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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.