Active NPI
Luciany Saintilmond, PA
- Physician Assistant
- Matthews, NC
National Provider Identifier
1003672361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10198
- Practice address
- 9707 Chase View Dr
Matthews, NC 28105-0400 - Phone
- (781) 363-2854
- NPI assigned
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10198 | AZ | Primary |
Addresses
Primary practice location
9707 Chase View Dr
Matthews, NC 28105-0400
Mailing address
9707 Chase View Dr
Matthews, NC 28105-0400
Phone (178) 136-3295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10198 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1003672361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 CHASE VIEW DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050400",
"telephone_number": "178-136-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 CHASE VIEW DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050400",
"telephone_number": "781-363-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINTILMOND",
"first_name": "LUCIANY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.