Dina G Palmer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001245A Issued in IN

Practice address

6640 Intech Blvd Ste 300
Indianapolis, IN 46278-2012

Phone

(317) 275-8308

Fax

(317) 275-6066

NPI assigned

Nov 11, 2008

Last updated

Nov 16, 2012By 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 2

Addresses

Other identifiers 1

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.

• Indiana University Health North Hospital, Inc

  • Surgery Physician
  • Carmel, IN
  • NPI 1396765731
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1235383639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 INTECH BLVD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782012",
            "telephone_number": "317-275-8308",
            "fax_number": "317-275-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 INTECH BLVD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782012",
            "telephone_number": "317-275-8308",
            "fax_number": "317-275-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DINA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002195",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001245A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D400001392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Dalyn Palma, MD
• Victoria C Palmer-Smith, MD
• Palmer-Thornburg Corporation
• Allison Lauren Palmer, DO
• Brittany M Palmer, NP
• Dustin Palmer
• Erin Leigh Palmer, RN
• Ja'Toria Palmer
• Jackie Lynn Palmer, NP
• Jason L. Palmer, A.T.C.

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.