Individual provider Active NPI

Sean P Metz, RPA-C

  • Surgical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1164404562
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
008111 Issued in NY
Practice address
700 Michigan Ave
Suite 100
Buffalo, NY 14203-1536
Phone
(716) 854-5700
Fax
(716) 854-5800
NPI assigned
Nov 19, 2005
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 008111 NY Primary

Addresses

Primary practice location

700 Michigan Ave
Suite 100
Buffalo, NY 14203-1536

Mailing address

700 Michigan Ave
Suite 100
Buffalo, NY 14203-1536
Phone (716) 854-5700

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

State licenses

LicenseStateTypeSpecialty
008111NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Graham R. Huckell Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1164404562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "address_2": "SUITE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031536",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "address_2": "SUITE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031536",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.