Active NPI
G Michael Palmer MD PC
Doing business as Finger Lakes Radiology
- Diagnostic Radiology Physician
- Auburn, NY
National Provider Identifier
1457548893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 217078
- Legal business name
- G MICHAEL PALMER MD PC
- Doing business as
- Finger Lakes Radiology
- Practice address
- Auburn Memorial Hospital
17 Lansing St.
Auburn, NY 13021 - Phone
- (315) 255-7261
- NPI assigned
- Oct 1, 2007
- Last updated
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn M Palmer, MD
- Title
- Owner
- Phone
- (315) 255-7261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 217078 | NY | Primary |
Addresses
Primary practice location
Auburn Memorial Hospital
17 Lansing St.
Auburn, NY 13021
Mailing address
144 Genesee St
Suite 304
Auburn, NY 13021-3503
Other names 1
- Finger Lakes Radiology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1457548893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 GENESEE ST",
"address_2": "SUITE 304",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AUBURN MEMORIAL HOSPITAL",
"address_2": "17 LANSING ST.",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-255-7261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G MICHAEL PALMER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-255-7261",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "217078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Finger Lakes Radiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.