Active NPI
Panorama Pediatric Group, RLLP
- Pediatric Nurse Practitioner
- Rochester, NY
National Provider Identifier
1205076122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381534-1
- Legal business name
- PANORAMA PEDIATRIC GROUP, RLLP
- Practice address
- 220 Linden Oaks Ste 200
Rochester, NY 14625-2839 - Phone
- (585) 381-4982
- Fax
- (585) 381-1821
- NPI assigned
- Mar 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Ludwig
- Title
- Credentialing Coordinator
- Phone
- (585) 381-4982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F381534-1 | NY | Primary |
Addresses
Primary practice location
220 Linden Oaks Ste 200
Rochester, NY 14625-2839
Mailing address
220 Linden Oaks Ste 200
Rochester, NY 14625-2839
Phone (585) 381-4982
National Provider Directory
National Provider Directory- Tax ID family
- Panorama Pediatric Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Rochester, NY
- NPI 1528146453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236211200000",
"number": "1205076122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LINDEN OAKS STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252839",
"telephone_number": "585-381-4982",
"fax_number": "585-381-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LINDEN OAKS STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252839",
"telephone_number": "585-381-4982",
"fax_number": "585-381-1821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANORAMA PEDIATRIC GROUP, RLLP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A",
"authorized_official_last_name": "LUDWIG",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "585-381-4982"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381534-1",
"primary": true
}
],
"identifiers": [],
"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 Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.