Active NPI
Sara J Rider, PAC
- Medical Physician Assistant
- Easthampton, MA
National Provider Identifier
1336246586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1257
- Practice address
- 238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046 - Phone
- (413) 529-9300
- Fax
- (413) 527-7517
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1257 | MA | Primary |
Addresses
Primary practice location
238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046
Mailing address
PO Box 5700
Belfast, ME 04915-5700
Phone (866) 431-4077
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257 | MA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1336246586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5700",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155700",
"telephone_number": "866-431-4077",
"fax_number": "413-774-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 NORTHAMPTON ST",
"address_2": "EASTHAMPTON HEALTH CENTER",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271046",
"telephone_number": "413-529-9300",
"fax_number": "413-527-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "SARA",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA1257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.