Active NPI
Erin Sanderson, PA-C
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021069
- Practice address
- 1226 E Water St
Syracuse, NY 13210-1155 - Phone
- (315) 478-4185
- NPI assigned
- Jul 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057302 | PA | |
| Physician Assistant | 363A00000X | PA5369 | MA | |
| Physician Assistant | 363A00000X | 021069 | NY | Primary |
Addresses
Primary practice location
1226 E Water St
Syracuse, NY 13210-1155
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Other practice location 1
33 Kendall St
Worcester, MA 01605-2726
Phone (508) 334-8765
Other practice location 2
33 Kendall St
Worcester, MA 01605-2726
Phone (508) 334-8765
Other names 1
- Erin Colleen Frazee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185
Hospital & facility affiliations
- Samaritan Medical Center
- Oswego Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021069 | NY | MD | Physician Assistant |
| MA057302 | PA | MD | Physician Assistant |
| PA5369 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Current | Accepting new patients | |
| Associated Medical Professionals of Ny, PLLC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Locations
192 W Genesee St
Auburn, NY 13021
Phone (315) 258-5253
5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841
80 E Main St
Ste 2A
Canton, NY 13617
Phone (315) 714-2559
4211 Medical Center Dr
Ste 211
Fayetteville, NY 13066
Phone (315) 329-0210
5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170
100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370
5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321
2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081
357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
Interoperability endpoints
- esanderson@ampofny.medentdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285018085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185"
}
],
"practiceLocations": [
{
"address_1": "33 Kendall St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052726",
"country_code": "US",
"telephone_number": "508-334-8765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33 Kendall St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052726",
"country_code": "US",
"telephone_number": "508-334-8765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERSON",
"first_name": "ERIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057302",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5369",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "FRAZEE",
"middle_name": "COLLEEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.