MS. SARA ELIZABETH DOE P.A. NPI 1033478912

NPI Information

NPI: 1033478912
Provider Name: MS. SARA ELIZABETH DOE, P.A.
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
PECOS Registration: Yes
Address: 1415 PORTLAND AVE
DEPARTMENT OF SURGERY
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-4715

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NPI Details

MS. Sara Elizabeth Doe, P.A. is a surgical physician assistant in Rochester, NY with 13 years of experience. MS. Sara Elizabeth Doe, P.A. NPI is 1033478912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 PORTLAND AVE
DEPARTMENT OF SURGERY
ROCHESTER, NY
ZIP 14621-038
Phone: (585) 922-4715

The NPI 1033478912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2012 and was last updated on 2/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03587446	MEDICAID	NEW YORK
2	4942206	OTHER	NEW YORK	AETNA/RCIPA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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