Individual provider Active NPI

Josephine Dubon, PA

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1235638115
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8860 Columbia 100 Pkwy Ste 206
Columbia, MD 21045-2383
Phone
(410) 740-9330
NPI assigned
Feb 7, 2018
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8860 Columbia 100 Pkwy Ste 206
Columbia, MD 21045-2383

Mailing address

8860 Columbia 100 Pkwy Ste 206
Columbia, MD 21045-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531000688 MD Practitioner - Physician Assistant 1254696891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Aesthetic Plastic SurgeryGroup PAC ID 0648273136, 3 clinicians

Practice addresses (Care Compare)

8860 Columbia 100 Pkwy
Suite 314
Columbia, MD 21045-2298
Phone (410) 740-9330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Aesthetic Surgery Center LLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

8860 Columbia 100 Pkwy
Ste 206
Columbia, MD 21045
Phone (410) 740-9330

8860 Columbia 100 Pkwy
Ste 314
Columbia, MD 21045
Phone (410) 740-9330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1235638115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452383",
            "telephone_number": "410-740-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBON",
        "first_name": "JOSEPHINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.