Active NPI
Janice A. King, PA-C
- Physician Assistant
- Wolfeboro, NH
National Provider Identifier
1255369443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0711
- Practice address
- 240 S Main St
Suite H
Wolfeboro, NH 03894-4411 - Phone
- (603) 569-7500
- Fax
- (603) 515-2031
- NPI assigned
- Jun 28, 2006
- Last updated
- Jan 28, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051169 | PA | |
| Physician Assistant | 363A00000X | 0711 | NH | Primary |
| Physician Assistant | 363A00000X | OA000785 | PA | |
| Medical Physician Assistant | 363AM0700X | 25MP00100000 | NJ |
Addresses
Primary practice location
240 S Main St
Suite H
Wolfeboro, NH 03894-4411
Mailing address
240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3088665 | Medicaid | NH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0711 | NH | MD | Driving and Community Mobility Occupational Therapist |
| OA000785 | PA | MD | Physician Assistant |
| 25MP00100000 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Emergency Physicians LLC | Past | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Past | Accepting new patients |
| Portsmouth Emergency Physicians PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Clinic/Center
- Middleton, MA
- NPI 1902215106
-
- Emergency Medical Services (Emergency Medicine) Physician
- Portsmouth, NH
- NPI 1710923511
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
- Emergency Medicine Physician
- Easton, PA
- NPI 1093932360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1255369443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S MAIN ST",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944411",
"telephone_number": "603-569-7500",
"fax_number": "603-515-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S MAIN ST",
"address_2": "SUITE H",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944411",
"telephone_number": "603-569-7500",
"fax_number": "603-515-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JANICE",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051169",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0711",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000785",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00100000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3088665",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.