Individual provider Active NPI

Sandra Louise Palmer, P.A.

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1407865371
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
003581 Issued in NY
Practice address
1445 Portland Ave
Suite 108/560
Rochester, NY 14621-3036
Phone
(585) 922-5300
NPI assigned
Aug 7, 2006
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 003581 NY Primary

Addresses

Primary practice location

1445 Portland Ave
Suite 108/560
Rochester, NY 14621-3036

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003581NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Sep 1, 2013 Accepting new patients
Rochester General Hospital CurrentSince Mar 1, 2008 Accepting new patients
Rochester General Hospital CurrentSince Mar 1, 2008 Accepting new patients
Western New York Medical Practice P.C CurrentSince Sep 1, 2013 Accepting new patients
Vascular Surgery Partners PC Past Accepting new patients

Locations

75 Sunset Dr
Newark, NY 14513
Phone (315) 331-4375

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1445 Portland Ave
Ste 108560
Rochester, NY 14621
Phone (585) 922-5300

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
#652
Rochester, NY 14642
Phone (585) 273-2050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1407865371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1469",
            "fax_number": "585-922-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "address_2": "SUITE 108/560",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213036",
            "telephone_number": "585-922-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SANDRA",
        "middle_name": "LOUISE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "003581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.