Melvin Bernard Palmer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003940 Issued in VA

Practice address

730 Thimble Shoals Blvd
Suite 130
Newport News, VA 23606-4562

Phone

(757) 873-1554

Fax

(757) 873-3239

NPI assigned

Jul 2, 2012

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

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

State licenses

Interoperability endpoints

• Direct secure messaging: mpalmer@hrosm.gwaydirect.com

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669736971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 130",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064562",
            "telephone_number": "757-873-1554",
            "fax_number": "757-873-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 130",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064562",
            "telephone_number": "757-873-1554",
            "fax_number": "757-873-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Thimble Shoals Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064562",
            "country_code": "US",
            "telephone_number": "757-223-5700",
            "fax_number": "757-223-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5335 Discovery Park Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882696",
            "country_code": "US",
            "telephone_number": "757-253-0603",
            "fax_number": "757-585-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MELVIN",
        "middle_name": "BERNARD",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline A Page, MD
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• Sydni Taylor Paige
• Savannah Paladin
• Amudha Palani, MD
• Sytinenia Palmer
• Libby Palumbo
• Pamela Moran-Christner Professional Counseling Services
• Junmei Pan, PT
• Camelia Pana, MD

• Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.