Provider Demographics
NPI:1316929169
Name:TWIST, JAMES F (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:TWIST
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 1:2156 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1441
Mailing Address - Country:US
Mailing Address - Phone:716-873-7227
Mailing Address - Fax:
Practice Address - Street 1:2156 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14223-1441
Practice Address - Country:US
Practice Address - Phone:716-873-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1465021207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00010180801OtherUNIVERA
040426000804OtherFIDELIS CARE
47388OtherSPECTERA
000500312001OtherBCBS OF WNY
0801348OtherIHA
NY000500312001OtherBLUE CROSS BLUE SHIELD
NY00834639Medicaid
NYB71055Medicare UPIN