Individual provider Active NPI

Melony Sue Loparco, RPAC

  • Physician Assistant
  • Cortland, NY
National Provider Identifier
1639106867
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1039516 Issued in NY
Practice address
1104 Commons Ave
Cortland, NY 13045-1643
Phone
(607) 758-3750
Fax
(607) 758-3754
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006919-1 NY
Surgical Physician Assistant 363AS0400X 006919-1 NY
Physician Assistant 363A00000X 1039516 NY Primary

Addresses

Primary practice location

1104 Commons Ave
Cortland, NY 13045-1643

Mailing address

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 749-5708

Other identifiers 1

IdentifierTypeStateIssuer
02229050MedicaidNY

Other names 1

  • Mrs. Melony Sue Sands Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address melonys.shaffer@guthrie.org Direct
Direct Messaging Address melonys.shaffer@guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000913 NY Practitioner - Physician Assistant 9032134614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500

4057 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977

4077 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006919-1NYMDRegistered Dietitian
1039516NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1259 Fisher Ave
Cortland, NY 13045
Phone (607) 756-4600

135 N Main St
Cortland, NY 13045
Phone (607) 756-6330

1104 Commons Ave
Cortland, NY 13045
Phone (607) 758-3750

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

4057 West Rd
Cortland, NY 13045
Phone (607) 299-7116

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: mshaffer161726@direct-guthrie.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1639106867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-749-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COMMONS AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451643",
            "telephone_number": "607-758-3750",
            "fax_number": "607-758-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPARCO",
        "first_name": "MELONY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006919-1",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "006919-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1039516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02229050",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melonys.shaffer@guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1104 Commons Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melonys.shaffer@guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1104 Commons Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELONY",
            "last_name": "SANDS",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "RPAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.