Martha Andres, RPA-C
Individual provider Active NPI Physician Assistant · Springville, NY
NPI 1902813629 · NPPES record last updated Sep 8, 2009
Key facts
- NPI
- 1902813629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 004656-1 (NY)
- Practice address
- 168 W Main St
Springville, NY 14141-1016 - Phone
- (716) 592-4781
- Fax
- (716) 592-4429
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004656-1 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004656-1 | NY | Yes |
Addresses
Primary practice location
168 W Main St
Springville, NY 14141-1016
Mailing address
168 W Main St
Springville, NY 14141-1016
Phone (716) 592-4781
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01531699 | Medicaid | NY |
Other providers in Springville, NY
- Bonnie Abdo
- Laura E. Alianello
- Shane Michael Allen
- Andrea Catherine Alli
- Martha Ann Anderson
- Sarah A Andrews
- Elizabeth Ardenski
- Ashley Lynn Arnone
- Susan Spittal Ashby
- Lori Ann Baker
All providers in Springville, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.