National Provider Identifier

Lewiston Orthopedics PC

Lewiston Orthopedics PC is listed in the NPPES registry with a primary specialty of Specialist in Lewiston, NY and a listed phone number of (716) 297-1701.

NPI 1790862449Lewiston, NYSpecialist

Source: public NPPES record, last updated April 01, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1790862449
Provider Type
Organization
Primary Specialty
Specialist
Enumeration Date
November 01, 2006
Last Updated
April 01, 2010

Practice Location

  • 5320 Military RD
  • Suite 107
  • Lewiston, NY 14092-2149

Phone: (716) 297-1701

Authorized Official

Name
Dr. James M Wopperer
Title
Physician
Credentials
M.D.
Phone
(716) 297-1701

Specialties

  • Specialist (174400000X)

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Full Record
NPI
1790862449
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Lewiston Orthopedics PC
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
5320 Military RD
Mailing Address Line 2
Suite 107
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092-2149
Mailing Country
US
Mailing Phone
(716) 297-1701
Mailing Fax
(716) 297-1479
Practice Street Address
5320 Military RD
Practice Address Line 2
Suite 107
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-2149
Practice Country
US
Practice Phone
(716) 297-1701
Practice Fax
(716) 297-1479
Enumeration Date
November 01, 2006
Last Updated
April 01, 2010
Authorized Official Last Name
Wopperer
Authorized Official First Name
James
Authorized Official Middle Name
M
Authorized Official Title
Physician
Authorized Official Phone
(716) 297-1701
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
M.D.
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
000551514001 (NY, Blue Cross Dme), 528803001 (NY, Blue Cross Of Wny), 0903962 (NY, Independent Health), 1790862449 (Group NPI), 00010290601 (NY, Univera Healthcare)