National Provider Identifier
Mark A Wernham, MS, PA-C
Mark A Wernham, MS, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Ithaca, NY and a listed phone number of (607) 257-1107.
Profile Overview
- NPI
- 1205849981
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 14, 2006
- Last Updated
- February 08, 2023
Practice Location
- 1051 Craft RD
- Ithaca, NY 14850-1016
Phone: (607) 257-1107
Mailing Address
- 274 Chipman Corners RD
- Groton, NY 13073-8405
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1205849981
- Entity Type
- Individual
- Last Name
- Wernham
- First Name
- Mark
- Middle Name
- A
- Credential
- MS, PA-C
- Mailing Street Address
- 274 Chipman Corners RD
- Mailing City
- Groton
- Mailing State
- NY
- Mailing ZIP Code
- 13073-8405
- Mailing Country
- US
- Mailing Phone
- (609) 351-4567
- Practice Street Address
- 1051 Craft RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1016
- Practice Country
- US
- Practice Phone
- (607) 257-1107
- Practice Fax
- (607) 257-0369
- Enumeration Date
- August 14, 2006
- Last Updated
- February 08, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)