Individual provider Active NPI

Steven Charles Dillman, RPA

  • Medical Physician Assistant
  • Webster, NY
National Provider Identifier
1235378225
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002823 Issued in NY
Practice address
800 Phillips Rd
BLDG. 208-03E
Webster, NY 14580-9720
Phone
(585) 422-2155
Fax
(585) 422-9581
NPI assigned
Feb 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002823 NY Primary

Addresses

Primary practice location

800 Phillips Rd
BLDG. 208-03E
Webster, NY 14580-9720

Mailing address

800 Phillips Rd
BLDG. 208-03E
Webster, NY 14580-9720
Phone (585) 422-2155

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

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1235378225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PHILLIPS RD",
            "address_2": "BLDG. 208-03E",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809720",
            "telephone_number": "585-422-2155",
            "fax_number": "585-422-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PHILLIPS RD",
            "address_2": "BLDG. 208-03E",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809720",
            "telephone_number": "585-422-2155",
            "fax_number": "585-422-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "STEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.