JOHN RAYMOND WANAMAKER MD
NPI 1386631166
Otolaryngology in Syracuse, NY

Active since October 05, 2005
800 IRVING AVE, VA MEDICAL CENTER, SURGICAL SERVICES(112), SYRACUSE, NY 13210(315) 425-4400(315) 425-2639 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Raymond Wanamaker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN RAYMOND WANAMAKER MD (NPI 1386631166) is an individual otolaryngology provider in Syracuse, New York, licensed in New York (189611) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1386631166
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN RAYMOND WANAMAKERCredential: MD
Location Address800 IRVING AVE, VA MEDICAL CENTER, SURGICAL SERVICES(112)Syracuse, NY 13210-2716
Mailing Address800 Irving Ave, Va Medical Center, Surgical Services(112)Syracuse, NY 13210-2716 · (315) 425-4400 · Fax (315) 425-2639
Fax(315) 425-2639
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateDecember 20, 2016
NPI 1386631166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 189611
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
800 IRVING AVE, Syracuse, NY 13210

Other Identifiers 3

Medicare PIN51672HNY
Medicaid01635029NY
Medicare UPINF27565

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
800 IRVING AVE
SYRACUSE, NY 13210
Occupational Therapist
800 IRVING AVE, VETERAN'S ADM. MEDICAL CENTER-OCCUPATIONAL THERAPY
SYRACUSE, NY 13210
Pharmacist
800 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
800 IRVING AVE, A 447
SYRACUSE, NY 13210
Psychologist
800 IRVING AVE
SYRACUSE, NY 13210
Physical Therapist
800 IRVING AVE
SYRACUSE, NY 13210
Social Worker (Clinical)
800 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
800 IRVING AVE
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wanamaker's NPI number?

The NPI number for John Wanamaker is 1386631166. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is John Wanamaker located?

John Wanamaker practices at 800 Irving Ave VA Medical Center, Surgical Services(112), Syracuse, NY 13210. The listed phone number is (315) 425-4400.

What is John Wanamaker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for John Wanamaker was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.