Active NPI
Michael Greg Palmer, DO
- Family Medicine Physician
- Erie, PA
National Provider Identifier
1730609041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT018126
- Practice address
- 311 West 24TH Street 4TH Floor
Erie, PA 16502 - Phone
- (814) 452-5109
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT018126 | PA | Primary |
Addresses
Primary practice location
311 West 24TH Street 4TH Floor
Erie, PA 16502
Mailing address
311 W 24TH St FL 4
Erie, PA 16502-2665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1730609041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W 24TH ST FL 4",
"city": "ERIE",
"state": "PA",
"postal_code": "165022665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WEST 24TH STREET 4TH FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "16502",
"telephone_number": "814-452-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "MICHAEL",
"middle_name": "GREG",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT018126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.