Provider Demographics
NPI:1255413266
Name:O CONNOR, PAMELA A (RPA C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:O CONNOR
Suffix:
Gender:F
Credentials:RPA C
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:A
Other - Last Name:CLEVELAND MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 LINDEN OAKS SUITE 200
Mailing Address - Street 2:PANORAMA PEDIATRIC GROUP RLLP
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625
Mailing Address - Country:US
Mailing Address - Phone:585-381-4982
Mailing Address - Fax:585-381-1821
Practice Address - Street 1:220 LINDEN OAKS SUITE 200
Practice Address - Street 2:PANORAMA PEDIATRIC GROUP RLLP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625
Practice Address - Country:US
Practice Address - Phone:585-381-4982
Practice Address - Fax:585-381-1821
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0069001363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant