Active NPI
Sandra Louise Palmer, P.A.
- Surgical Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 003581
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003581 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C | Current | 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.
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-
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- NPI 1932358322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.