Active NPI
Martha Andres, RPA-C
- Physician Assistant
- Springville, NY
National Provider Identifier
1902813629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004656-1
- Practice address
- 168 W Main St
Springville, NY 14141-1016 - Phone
- (716) 592-4781
- Fax
- (716) 592-4429
- NPI assigned
- Aug 2, 2006
- Last updated
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004656-1 | NY | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004656-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1902813629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 W MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411016",
"telephone_number": "716-592-4781",
"fax_number": "716-592-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 W MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411016",
"telephone_number": "716-592-4781",
"fax_number": "716-592-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRES",
"first_name": "MARTHA",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004656-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.