Provider Demographics
NPI:1902093800
Name:JOHN P. WARD
Entity Type:Organization
Organization Name:JOHN P. WARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-655-5019
Mailing Address - Street 1:7531 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-9407
Mailing Address - Country:US
Mailing Address - Phone:716-655-5019
Mailing Address - Fax:716-655-1567
Practice Address - Street 1:7531 SENECA ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052
Practice Address - Country:US
Practice Address - Phone:716-655-5019
Practice Address - Fax:716-655-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1714051207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDN8293OtherRAILROAD MEDICARE
NY00010186101OtherUNIVERA
NY0106376OtherINDEPENDENT HEALTH
NY000511488002OtherBLUE CROSS
NY01367028Medicaid
NY080171964OtherRAILROAD MEDICARE
NY00010186101OtherUNIVERA
NY01367028Medicaid