Josephine Dubon, PA
Individual provider Active NPI Physician Assistant · Columbia, MD
NPI 1235638115 · NPPES record last updated Feb 7, 2018
Key facts
- NPI
- 1235638115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 8860 Columbia 100 Pkwy Ste 206
Columbia, MD 21045-2383 - Phone
- (410) 740-9330
- NPI assigned
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Aesthetic Plastic Surgery
Practice addresses (Care Compare)
8860 Columbia 100 Pkwy
Suite 314
Columbia, MD 21045-2298
Phone (410) 740-9330
Hospital & facility affiliations
- Johns Hopkins Howard County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180531000688 | MD | Practitioner - Physician Assistant | 1254696891 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Aesthetic Surgery Center LLC | Current |
Accepting new patients |
Locations
8860 Columbia 100 Pkwy
Ste 314
Columbia, MD 21045
Phone (410) 740-9330
8860 Columbia 100 Pkwy
Ste 206
Columbia, MD 21045
Phone (410) 405-7444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Yes |
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
Other providers in Columbia, MD
- Rajiv Dua
- Jennifer Qian Duan
- Ana C Duarte
- Giovanna Duarte
- Maria O Duarte
- Cameryn Leann Dubose
- Courtney Dubovi
- Joy D Dubrovich
- Marlon Ducrepin
- Crystal Ducros
All providers in Columbia, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.