Patricia E Hentze, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006124 Issued in NY

Practice address

1301 River St
Suite 108
Valatie, NY 12184-9694

Phone

(518) 758-8300

Fax

(518) 758-9679

NPI assigned

Aug 20, 2006

Last updated

Dec 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care Physicians, PC

  • Family Medicine Physician
  • Albany, NY
  • NPI 1811946775

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1023123205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342000",
            "telephone_number": "518-828-8363",
            "fax_number": "518-697-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "address_2": "SUITE 108",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-758-8300",
            "fax_number": "518-758-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTZE",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Adam Gibeault, LICENSED OPTICIAN
• Bernard Goldman, DMD
• Jill M Guenther, FNP-BC
• Sara Heimroth, NPP
• Kalee Hennig
• Christine Hertler, CDE, RN
• Paul K Herzberg, D.D.S.
• Eileen A. Hobbs, PMHNP
• Elizabeth A Howard, DO
• Katherine Colleen Hughes, PHARMD

• Physician Assistant in Valatie, NY
• Providers in Valatie, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.