Active NPI
Carol Vieau, P.A.
- Physician Assistant
- Rochester, NY
National Provider Identifier
1063460871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000287
- Practice address
- 293 Upper Falls Blvd
Rochester, NY 14605-2184 - Phone
- (585) 922-0200
- NPI assigned
- May 4, 2006
- Sex
- Female
- 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 | 000287 | NY | Primary |
Addresses
Primary practice location
293 Upper Falls Blvd
Rochester, NY 14605-2184
Mailing address
293 Upper Falls Blvd
Rochester, NY 14605-2184
Phone (585) 922-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00621692 | Other | NY | RAILROAD MEDICARE |
| 02808762 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1063460871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 UPPER FALLS BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052184",
"telephone_number": "585-922-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 UPPER FALLS BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052184",
"telephone_number": "585-922-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEAU",
"first_name": "CAROL",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "000287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00621692",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02808762",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.