Provider Demographics
NPI:1255319836
Name:LANIGAN, JAMES JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:LANIGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1025
Mailing Address - Country:US
Mailing Address - Phone:585-786-2310
Mailing Address - Fax:
Practice Address - Street 1:400 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1025
Practice Address - Country:US
Practice Address - Phone:585-786-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128160207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCIM 128160-1OtherWORKERS COMP.
NYMDF127OtherPREFERRED CARE
NYP010128160OtherBC/BS ROCHESTER
NY00100992OtherCHOICE CARE
NY00521884Medicaid
NYWN49816OtherMDNY
NY00010099201OtherUNIVERA
NY16-1579581OtherSENIOR CHOICE
NYP010128160OtherBLUE CHOICE
NY005070712OtherBC/BS OF WNY
NY060058883-060057497OtherRR MEDICARE
NY16-1579581OtherAETNA
NY161579581OtherEMPIRE
NY16-1579581OtherN. AMERICAN PREFERRED
NY2102338OtherINDEPENDENT HEALTH
NY00100992OtherCHOICE CARE
NY16-1579581OtherN. AMERICAN PREFERRED