Individual provider Active NPI

Katherine Jane Ayers, M.D.

  • Dermatology Physician
  • Plymouth, MA
National Provider Identifier
1104923069
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
234118 Issued in MA
Practice address
1 Scobee Cir
Unit 3
Plymouth, MA 02360-4887
Phone
(508) 747-0711
Fax
(508) 746-9265
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 234118 MA Primary

Addresses

Primary practice location

1 Scobee Cir
Unit 3
Plymouth, MA 02360-4887

Mailing address

1 Scobee Cir
Unit 3
Plymouth, MA 02360-4887
Phone (508) 747-0711

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000546 MA Practitioner - Dermatology 8224104880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

1 Scobee Cir
Suite 3
Plymouth, MA 02360-4887
Phone (508) 747-0711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision84
Removal of skin lesions2325
Removal or shaving of skin growth1-10
Skin biopsy691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234118MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Northeast Dermatology Associates, PC Current Accepting new patients

Locations

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

75 Washington St
Ste 20
Norwell, MA 02061

75 Washington St
Norwell, MA 02061

75 Washington St
Ste 200
Norwell, MA 02061
Phone (781) 878-6495

1 Scobee Cir
Ste 3
Plymouth, MA 02360
Phone (508) 747-0711

Interoperability endpoints

  • Direct secure messaging: drayers@southshoreskin.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1104923069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "address_2": "UNIT 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "address_2": "UNIT 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "KATHERINE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "234118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.