Patricia Pometto

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001832 Issued in VA

Practice address

Spectrum Healthcare Resources
12647 Olive Blvd
St. Louis, MO 63141

Phone

(800) 325-3982

NPI assigned

Nov 1, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mid-Atlantic Family Practice

  • Adult Medicine Physician
  • Virginia Beach, VA
  • NPI 1477766020
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366529265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 LANDS END WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516511",
            "telephone_number": "757-477-1151",
            "fax_number": "866-347-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPECTRUM HEALTHCARE RESOURCES",
            "address_2": "12647 OLIVE BLVD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "800-325-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMETTO",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Polson
• Bonnie Sue Polster, RN
• Anita B Polzin, MA, LPC
• Andrew M Pomerantz, PH. D.
• Daniel David Pomerleau, LMFT
• Anthony Gerard Pompa, MD
• Jessica Pona, NP
• Gio Paulo Ponce
• Carol Ponciroli
• Samuel Pond, PA-C

• Physician Assistant in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.