Provider Demographics
NPI:1679681985
Name:ROOD, PATRICK M (RPAC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:M
Last Name:ROOD
Suffix:
Gender:M
Credentials:RPAC
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Mailing Address - Street 1:3980 SHERIDAN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1727
Mailing Address - Country:US
Mailing Address - Phone:716-250-2000
Mailing Address - Fax:716-250-2040
Practice Address - Street 1:3980 SHERIDAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1727
Practice Address - Country:US
Practice Address - Phone:716-250-2000
Practice Address - Fax:716-636-1365
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY010671363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9590169OtherIHA
NY000570564004OtherBLUE CROSS BLUE SHIELD
NY00027313516OtherUNIVERA
PA1868Medicare PIN
NY000570564004OtherBLUE CROSS BLUE SHIELD