Patricia Pometto
Physician Assistant in St. Louis, MO. Individual provider (NPI-1).
NPI number1366529265
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1366529265
- Entity type
- Individual (NPI-1)
- Name
- Patricia Pometto
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001832 | VA | Yes |
Practice location
Spectrum Healthcare Resources12647 Olive Blvd
St. Louis, MO 63141
Phone 800-325-3982
Mailing address
1034 Lands End WayVirginia Beach, VA 23451-6511
Phone 757-477-1151 · Fax 866-347-0841
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in St Louis, MO
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