Desiree Ann Palumbo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002978 Issued in OH

Practice address

6055 W 130TH St
Parma, OH 44130-1041

Phone

(440) 644-0511

NPI assigned

Nov 12, 2009

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

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: desiree.palumbo.1@19291.direct.athenahealth.com

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.

• Fatima M Pozuelo MD Inc

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  • NPI 1982700621

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1578890448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 NORTHBROOK TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235626",
            "telephone_number": "440-749-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 W 130TH ST",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301041",
            "telephone_number": "440-644-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "DESIREE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "002978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brojesh Chandra Pakrashi, MD FACC
• Syreeta Palackdharry
• Michelle Ann Pallo
• Deborah Halina Palmentera, LPN
• Alan Douglas Brownfield Palo, MD
• Panorama Cab Service LLC
• Pooja Panwar
• Susan Papadelis, STNA
• Deborah Pappas
• Paramount Transport Services

• Physician Assistant in Parma, OH
• Providers in Parma, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.