Active NPI
Erin A Desmond, PA-C
- Physician Assistant
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA8189
- Practice address
- 275 Varnum Ave Suite 102
Lowell, MA 01854 - Phone
- (978) 942-2610
- Fax
- (978) 942-2616
- NPI assigned
- Apr 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA8189 | MA | Primary |
Addresses
Primary practice location
275 Varnum Ave Suite 102
Lowell, MA 01854
Mailing address
275 Varnum Ave Suite 102
Lowell, MA 01854
Phone (978) 942-2610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S400808223 | Other | MA | MEDICARE PTN |
| PID110170641A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 942-8260
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
- Lowell General Hospital
- Melrosewakefield Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA8189 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Center at Tufts Medical Center, Inc. | Current | Accepting new patients | |
| Patriot Urgent Care Professionals PC | Current | Accepting new patients | |
| Patriot Urgent Care Professionals PC | Current | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
275 Varnum Ave
Ste 102
Lowell, MA 01854
Phone (978) 942-2064
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
1030 Main St
Waltham, MA 02451
Phone (781) 894-6900
Interoperability endpoints
- edesmond23140@tuftsmedicine.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Boston, MA
- NPI 1447764253
-
- Hospitalist Physician
- Lowell, MA
- NPI 1174698385
-
- Urgent Care Clinic/Center
- Waltham, MA
- NPI 1417205105
-
- Surgery Physician
- Boston, MA
- NPI 1912944182
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1245123587
-
- Urgent Care Clinic/Center
- Attleboro, MA
- NPI 1356159172
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1023638137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VARNUM AVE SUITE 102",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-942-2610",
"fax_number": "978-942-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE SUITE 102",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-942-2610",
"fax_number": "978-942-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMOND",
"first_name": "ERIN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA8189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTN",
"identifier": "S400808223",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PID110170641A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.