Michelle Margaret Ederer, B.A.,M.A., P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006151 Issued in NY

Practice address

3504 W Genesee St
Syracuse, NY 13219-2008

Phone

(315) 350-3305

NPI assigned

Nov 17, 2005

Last updated

Mar 17, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, MI, OH3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts, Physician Assistant

Practice roles

Locations

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.

• Zaki Badawy, MD PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1871206474
  Medicare reassignment Care Compare group
• Hometown Urgent Care of Michigan, P.C.

  dba Hometown Urgent Care

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI

  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment
• Hometown Urgent Care of Michigan, P.C.

  dba WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Kalamazoo, MI
  • NPI 1891469631
  NPD
• McSwain Medical of Auburn PLLC

  • Physician Assistant
  • Auburn, NY
  • NPI 1710228838
  NPD (past)
• Syracuse Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Syracuse, NY
  • NPI 1669410379
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326020033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JORDAN ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521113",
            "telephone_number": "315-391-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192008",
            "telephone_number": "315-350-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4882B North Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131424713",
            "country_code": "US",
            "telephone_number": "315-298-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDERER",
        "first_name": "MICHELLE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "B.A.,M.A., P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Eckrich, NP
• Tracy L. Eckstrand, PSY.D.
• Michelle M Econ, LPN
• Dionne Eddington-Dixon, NP
• Heather Eddy, MS, OTR/L
• Deborah Ann Edinger, MA
• Educating Youth Through Empowerment Camp Corp
• Anna Marie Edwards, L.P.N.
• Dawn L Edwards, PH.D.
• Gregory Edwards

• Medical Physician Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Physician Assistant in New York

• 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.

Verify at the official NPI Registry.