John Wandtke (NPI# 1457382327, PAC ID# 4183527567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457382327 |
| PAC ID by PECOS | 4183527567 |
| Professional Enrollment ID | I20080411000531 |
| Full Name | John Wandtke |
| Organization Legal Name | ST JAMES MERCY HOSPITAL |
| Address |
411 Canisteo St Hornell NY 14843-2104 |
| Phone Number | 6073248000 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1970 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0345154480 |
| Number of Group Practice Members | 121 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330235 | AUBURN COMMUNITY HOSPITAL |
| 330238 | NICHOLAS H NOYES MEMORIAL HOSPITAL |
| 330151 | ST JAMES MERCY HOSPITAL |
| 330074 | F F THOMPSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 156 W Ave, Brockport, NY 14420-1229 | 5857842985 | RADIOLOGISTS OF UNIV OF ROCHESTER |
| 350 Parrish St, Canandaigua, NY 14424-1731 | 5853966910 | RADIOLOGISTS OF UNIV OF ROCHESTER |
| 111 Clara Barton St, Dansville, NY 14437-9503 | 5853354235 | RADIOLOGISTS OF UNIV OF ROCHESTER |
| 411 Canisteo St, Hornell, NY 14843-2104 | 6073248000 | ST JAMES MERCY HOSPITAL |
| 601 Elmwood Ave, Rochester, NY 14642-0002 | 5852752734 | RADIOLOGISTS OF UNIV OF ROCHESTER |
| 42 Nichols St, Spencerport, NY 14559-2180 | 5853497094 | RADIOLOGISTS OF UNIV OF ROCHESTER |
| Organization Legal Name | ST JAMES MERCY HOSPITAL |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Schiffman | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Leah C Fuerst | Physician Assistant | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Kimberley A Betker | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Michael J Potchen | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Spencer P Annabel | Internal Medicine | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Avice M Oconnell | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Beth A Delpapa | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Ravinder Sidhu | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Sachin Joseph Manthuruthil | Internal Medicine | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Brandi L Burke | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Street Address |
411 CANISTEO ST |
| City | HORNELL |
| State | NY |
| Zip | 14843-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Schiffman | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Leah C Fuerst | Physician Assistant | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Kimberley A Betker | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Michael J Potchen | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Spencer P Annabel | Internal Medicine | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Avice M Oconnell | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Beth A Delpapa | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Ravinder Sidhu | Diagnostic Radiology | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Sachin Joseph Manthuruthil | Internal Medicine | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Brandi L Burke | Nurse Practitioner | St James Mercy Hospital | 411 Canisteo St, Hornell, NY 14843-2104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia R Soper | Chiropractic | 303 Seneca Rd, Suite 102, Hornell, NY 14843-1000 | |
| Susan J Cosgrove | Chiropractic | 340 Cleveland Ave, Hornell, NY 14843-1004 | |
| Muhammad Jalaluddin | Neurosurgery | 237 Seneca Rd, Hornell, NY 14843-1033 | |
| Mavidi K Hariprasad | Nephrology | 343 Seneca Rd, Hornell, NY 14843-1033 | |
| Nasar A Chaudhry | Internal Medicine | 327 Seneca Rd, Hornell, NY 14843-1033 | |
| Allan M Robbins | Ophthalmology | 364 Seneca Rd, Hornell, NY 14843-1039 | |
| Ryan J Beers | Optometry | 364 Seneca Rd, Hornell, NY 14843-1039 | |
| Robert W Anderson | Psychologist, Clinical | 97 Main St A, Hornell, NY 14843-1523 | |
| Thomas M Pieklo | Podiatry | 36 Genesee St, Hornell, NY 14843-1614 | |
| Albert Byron Collins | General Surgery | 32 Genesee St, Hornell, NY 14843-1614 | |
| Find all physicians in zip 14843 | |||
| City | HORNELL |
| Zip Code | 14843 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HORNELL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John Wandtke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.